Evidence map›Paper›PMID 26240482›Full record

Trial reportJournal of Korean medical science2015

Low Hepatic Toxicity in Primary and Metastatic Liver Cancers after Stereotactic Ablative Radiotherapy Using 3 Fractions.

Sun Hyun Bae, Mi-Sook Kim, Won Il Jang, Chul Koo Cho, Hyung Jun Yoo, Kum Bae Kim, Chul Ju Han, Su Cheol Park, Dong Han Lee

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Journal of Korean medical science, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Stereotactic radiotherapy for liver oligometastases.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Review
  4. Article
  5. [Efficacy and safety study on the hepatocellular carcinoma patients with Child-Pugh B score using stereotactic body radiation therapy].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2019
    Article
  6. Review
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Sun Hyun BaeDepartment of Radiation Oncology, Soonchunhyang University College of Medicine, Bucheon, Korea.
Mi-Sook KimDepartment of Radiation Oncology, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.
Won Il JangDepartment of Radiation Oncology, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.
Chul Koo ChoDepartment of Radiation Oncology, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.
Hyung Jun YooDepartment of Radiation Oncology, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.
Kum Bae KimDepartment of Radiation Oncology, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.
Chul Ju HanDepartment of Internal Medicine, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.
Su Cheol ParkDepartment of Internal Medicine, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.
Dong Han LeeCyberKnife Center, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.
Korea Institute of Radiological and Medical Sciences · KRSoonchunhyang University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study evaluated the incidence of hepatic toxicity after stereotactic ablative radiotherapy (SABR) using 3 fractions to the liver, and identified the predictors for hepatic toxicity. We retrospectively reviewed 78 patients with primary and metastatic liver cancers, who underwent SABR using 3 fractions between 2003 and 2011. To examine the incidence of hepatic toxicity, we defined newly developed hepatic toxicity≥grade 2 according to the National Cancer Institute Common Terminology Criteria for Adverse Events v4.0 within 3 months after the end of SABR as a significant adverse event. To identify the predictors for hepatic toxicity, we analyzed several clinical and dosimetric parameters (rV5Gy-rV35Gy: normal liver volume receiving <X Gy, reverse VXGy). Hepatic toxicity≥grade 2 occurred in 10 patients (13%): grade 2 in 9 patients and grade 3 in 1 patient. On univariate analysis, baseline Child-Pugh (CP) score (5 vs. 6-8), normal liver volume, and planning target volume were the significant clinical predictors. All dosimetric parameters were significant: rV20Gy was the most significant predictor. On multivariate analysis, baseline CP score (hazard ratio, 0.026; P=0.001) was the only significant predictor. In conclusion, SABR using 3 fractions in primary and metastatic liver cancers produces low hepatic toxicity, especially in patients with a baseline CP score of 5. However, further studies are needed to minimize hepatic toxicity in patients with baseline CP scores≥6.

Indexed as

Dose Fractionation, RadiationAgedFemaleHepatitisHumansLiver NeoplasmsMaleMiddle AgedNeoplasm MetastasisRadiation InjuriesRadiosurgeryRadiotherapy DosageTreatment OutcomeChild-Pugh ScoreHepatic ToxicityLiver NeoplasmsPredictorStereotactic Body Radiotherapy

Identifiers

PMID26240482
PMCPMC4520935
OpenAlexW2096520794

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.