Evidence map›Paper›PMID 26901010›Full record

ArticleAJR. American journal of roentgenology2016

Effect of Stereotactic Body Radiotherapy on the Growth Kinetics and Enhancement Pattern of Primary Renal Tumors.

Maryellen R M Sun, Alexander Brook, Michael F Powell, Krithica Kaliannan, Andrew A Wagner, Irving D Kaplan, Ivan Pedrosa

Open access · greenAbstract read
In one paragraph

Article in AJR. American journal of roentgenology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

24 citing papers in PubMed, 63 citations in OpenAlex.

  1. Trial
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  3. Article
  4. Article
  5. Review
  6. Article
  7. Treatment Landscape of Renal Cell Carcinoma.Current treatment options in oncology · 2023
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
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  19. Review
  20. Imaging Advances in the Management of Kidney Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Maryellen R M Sun1 Department of Radiology, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Ave, CCW 3rd Fl, Boston, MA 02215.
Alexander Brook1 Department of Radiology, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Ave, CCW 3rd Fl, Boston, MA 02215.
Michael F Powell1 Department of Radiology, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Ave, CCW 3rd Fl, Boston, MA 02215.
Krithica Kaliannan1 Department of Radiology, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Ave, CCW 3rd Fl, Boston, MA 02215.
Andrew A Wagner4 Department of Urology, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA.
Irving D Kaplan5 Department of Radiation Oncology, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA.
Ivan Pedrosa6 Department of Radiology, Advanced Imaging Research Center, and Kidney Cancer Program, UT Southwestern Medical Center, Dallas, TX.
Harvard University · USYale University · US

Funding

NON-INVASIVE PHYSIOLOGIC PREDICTORS OF AGGRESSIVENESS IN RENAL CELL CARCINOMAR01CA154475 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI PEDROSA, IVAN · 2011 to 2024
$4.3M
NCI NIH HHS R01 CA154475
6 · The paper itself

Abstract

objectiveThe objective of our study was to assess the growth rate and enhancement of renal masses before and after treatment with stereotactic body radiotherapy (SBRT). MATERIALS AND

methodsThis retrospective study included all patients with renal masses who underwent SBRT during a 5-year period. Orthogonal measurements of renal masses were obtained on pre- and posttreatment CT or MRI. Pre- and posttreatment growth rates were compared for renal mass diameter and volume using the t test. Pre- and posttreatment tumor enhancement values were compared for tumors that underwent multiphasic contrast-enhanced MRI.

resultsForty patients underwent SBRT for the treatment of 41 renal tumors: clear cell renal cell carcinomas (RCCs) (n = 16), papillary RCCs (n = 6), oncocytic neoplasms (n = 8), unclassified RCCs (n = 2), urothelial carcinoma (n = 1), and no pathologic diagnosis (n = 8). The mean maximum tumor diameter before treatment was 3.9 cm (range, 1.6-8.3 cm). Three hundred thirty-eight pre- and posttreatment imaging studies were analyzed: 214 MRI studies and 124 CT studies. The mean pre- and posttreatment lengths of observation were 416 days (range, 2-1800 days) and 561 days (83-1366 days), respectively. The mean pretreatment tumor growth rate of 0.68 cm/y decreased to -0.37 cm/y post treatment (p < 0.0001), and the mean tumor volume growth rate of 21.2 cm(3)/y before treatment decreased to -5.35 cm(3)/y after treatment (p = 0.002). Local control-defined as less than 5 mm of growth-was achieved in 38 of 41 (92.7%) tumors. The Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 showed progression in one tumor (2.4%), stability in 31 tumors (75.6%), partial response in eight tumors (19.5%), and complete response in one tumor (2.4%). No statistically significant change in tumor enhancement was shown (mean follow-up, 142 days; range, 7-581 days).

conclusionRenal tumors treated with SBRT show statistically significant reductions in growth rate and tumor size after treatment but do not show statistically significant differences in enhancement in the initial (mean, 142 days) posttreatment period.

Indexed as

RadiosurgeryTumor BurdenAgedAged, 80 and overDisease ProgressionFemaleHumansKidney NeoplasmsKineticsMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesTomography, X-Ray Computedrenal massesstereotactic body radiotherapy (SBRT)tumor response

Identifiers

PMID26901010
PMCPMC6276126
OpenAlexW2310070191

What OpenQuestion holds

Textmetadata
LicenceTDM
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.