Evidence map›Paper›PMID 27497804›Full record

Trial reportRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology2016

Comparison of investigator-delineated gross tumour volumes and quality assurance in pancreatic cancer: Analysis of the on-trial cases for the SCALOP trial.

Emmanouil Fokas, Emiliano Spezi, Neel Patel, Chris Hurt, Lisette Nixon, Kwun-Ye Chu, John Staffurth, Ross Abrams, Somnath Mukherjee

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01032057 (A Multi-Center Randomized Phase II Study of Induction Chemotherapy Followed by Gemcitabine or Capecitabine Based Chemoradiotherapy for Locally Advanced Non-Metastatic Pancreatic Cancer), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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.

NCT01032057 phase2completednot on this map

A Multi-Center Randomized Phase II Study of Induction Chemotherapy Followed by Gemcitabine or Capecitabine Based Chemoradiotherapy for Locally Advanced Non-Metastatic Pancreatic Cancer

TypeinterventionalSponsorLisette NixonRan2009 to 2013Enrolled114ConditionsPancreatic CancerArmscapecitabine, gemcitabine hydrochloride, quality-of-life assessment, 3-dimensional conformal radiation therapy
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. A dose based approach for evaluation of inter-observer variations in target delineation.Technical innovations & patient support in radiation oncology
    Article
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.

Emmanouil FokasDepartment of Oncology, CRUK/MRC Institute for Radiation Oncology, University of Oxford, UK.
Emiliano SpeziSchool of Engineering, Cardiff University, UK.
Neel PatelOxford University Hospital NHS Foundation Trust, UK.
Chris HurtWales Cancer Trials Unit, Centre for Trials Research, Cardiff University, UK.
Lisette NixonWales Cancer Trials Unit, Centre for Trials Research, Cardiff University, UK.
Kwun-Ye ChuDepartment of Oncology, CRUK/MRC Institute for Radiation Oncology, University of Oxford, UK; Oxford University Hospital NHS Foundation Trust, UK.
John StaffurthInstitute of Cancer and Genetics, Cardiff University, UK; Cardiff NCRI RTTQA Centre, Velindre NHS Trust, UK.
Ross AbramsDepartment of Radiation Oncology, Rush University Medical Center, Chicago, USA.
Somnath MukherjeeDepartment of Oncology, CRUK/MRC Institute for Radiation Oncology, University of Oxford, UK; Oxford University Hospital NHS Foundation Trust, UK. Electronic address: somnath.mukherjee@oncology.ox.ac.uk.

Funding

Cancer Research UK 15954
6 · The paper itself

Abstract

background and purposeWe performed a retrospective central review of tumour outlines in patients undergoing radiotherapy in the SCALOP trial. MATERIALS AND

methodsThe planning CT scans were reviewed retrospectively by a central review team, and the accuracy of investigators' GTV (iGTV) and PTV (iPTV) was compared to the trials team-defined gold standard (gsGTV and gsPTV) using the Jaccard Conformity Index (JCI) and Geographical Miss Index (GMI). The prognostic value of JCI and GMI was also assessed. The RT plans were also reviewed against protocol-defined constraints.

results60 patients with diagnostic-quality planning scans were included. The median whole volume JCI for GTV was 0.64 (IQR: 0.43-0.82), and the median GMI was 0.11 (IQR: 0.05-0.22). For PTVs, the median JCI and GMI were 0.80 (IQR: 0.71-0.88) and 0.04 (IQR: 0.02-0.12) respectively. Tumour was completely missed in 1 patient, and⩾50% of the tumour was missed in 3. Patients with JCI for GTV⩾0.7 had 7.12 (95% CIs: 1.83-27.67, p=0.005) higher odds of progressing by 9months in multivariate analysis. Major deviations in RT planning were noted in 4.5% of cases.

conclusionsRadiotherapy workshops and real-time central review of contours are required in RT trials of pancreatic cancer.

Indexed as

AdultAgedCombined Modality TherapyFemaleHumansMaleMiddle AgedOrgans at RiskPancreatic NeoplasmsPrognosisQuality Assurance, Health CareRadiotherapy Planning, Computer-AssistedRetrospective StudiesTomography, X-Ray ComputedTumor BurdenConformity indexPancreasProspective trialQuality assuranceRadiotherapy

Identifiers

PMID27497804
PMCPMC5013754

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Registered trials

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.