Evidence map›Paper›PMID 27005431›Full record

ArticleRadiation oncology (London, England)2016

Intra-fraction motion of the prostate is not increased by patient couch shifts.

Hendrik Ballhausen, Ute Ganswindt, Claus Belka, Minglun Li

Abstract read
In one paragraph

Article in Radiation oncology (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Hendrik BallhausenUniversity Hospital of LMU Munich, Department of Radiation Oncology, Marchioninistraße 15, 81377, Munich, Germany. Hendrik.Ballhausen@med.uni-muenchen.de.
Ute GanswindtUniversity Hospital of LMU Munich, Department of Radiation Oncology, Marchioninistraße 15, 81377, Munich, Germany.
Claus BelkaUniversity Hospital of LMU Munich, Department of Radiation Oncology, Marchioninistraße 15, 81377, Munich, Germany.
Minglun LiUniversity Hospital of LMU Munich, Department of Radiation Oncology, Marchioninistraße 15, 81377, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring a fraction of external beam radiotherapy for prostate cancer, a mismatch between target volume and dose coverage may accumulate over time due to intra-fraction motion. One way to remove the residual error is to perform a couch shift in opposite direction. In principle, such couch shifts could cause secondary displacements of the patient and prostate. Hence it is interesting to investigate if couch shifts might amplify intra-fraction motion.

findingsIntra-fraction motion of the prostate and patient couch position were simultaneously recorded during 359 fractions in 15 patients. During this time, a total of 22 couch shifts of up to 31.5 mm along different axes were recorded. Prostate position and couch position were plotted before, during and after each couch shift. There was no visible impact of couch shifts on prostate motion. The standard deviation of prostate position was calculated before, during and after each couch shift. The standard deviation did not significantly increase during couch shifts (by 3 % on average, p = 0.88) and even slightly decreased after a couch shift (by 37 % on average; p = 0.02).

conclusionsShifts of the patient couch did not adversely affect the motion of the prostate relative to the patient couch. Hence, shifts of the patient couch may be a viable way to correct the position of the prostate relative to the dose distribution.

Indexed as

MotionPatient PositioningAgedAged, 80 and overHumansMaleMiddle AgedMovementProstateProstatic NeoplasmsRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedReproducibility of ResultsIntra-fraction motionProstateRadiotherapy

Identifiers

PMID27005431
PMCPMC4804511

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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.