Evidence map›Paper›PMID 27504128›Full record

ArticleJournal of contemporary brachytherapy2016

Highly conformal CT based surface mould brachytherapy for non-melanoma skin cancers of earlobe and nose.

Łukasz Kuncman, Sławomir Kozłowski, Andrzej Pietraszek, Malwina Pietrzykowska-Kuncman, Justyna Danielska, Janusz Sobotkowski, Jolanta Łuniewska-Bury, Jacek Fijuth

Open access · goldAbstract read
In one paragraph

Article in Journal of contemporary brachytherapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Validation of an individualized home-made superficial brachytherapy mold applied for deep nonmelanoma skin cancer.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Article
  6. 3D-printed surface applicators for brachytherapy: a phantom study.Journal of contemporary brachytherapy · 2021
    Article
  7. Article
  8. Additive manufacturing (3D printing) in superficial brachytherapy.Journal of contemporary brachytherapy · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. 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

8 authors at 4 institutions in 3 countries.

Łukasz KuncmanDepartment of Radiotherapy, Medical University of Łódź
Sławomir KozłowskiDepartment of Medical Physics, Regional Cancer Center, Copernicus Memorial Hospital of Łódź
Andrzej PietraszekDepartment of Brachytherapy, Regional Cancer Center, Copernicus Memorial Hospital of Łódź
Malwina Pietrzykowska-KuncmanDepartment of Pediatric Didactics, Medical University of Łódź, Łódź, Poland.
Justyna DanielskaDepartment of Radiotherapy, Medical University of Łódź
Janusz SobotkowskiDepartment of Brachytherapy, Regional Cancer Center, Copernicus Memorial Hospital of Łódź
Jolanta Łuniewska-BuryDepartment of Brachytherapy, Regional Cancer Center, Copernicus Memorial Hospital of Łódź
Jacek FijuthDepartment of Radiotherapy, Medical University of Łódź
Copernicus Memorial Hospital · PLMedical University of Lodz · PLInstitute of Radiotherapy and Nuclear Medicine · PKRegional Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBrachytherapy (BT), due to rapid dose fall off and minor set-up errors, should be superior to external beam radiotherapy (EBRT) for treatment of lesions in difficult locations like nose and earlobe. Evidences in this field are scarce. We describe computed tomography (CT) based surface mould BT for non-melanoma skin cancers (NMSC), and compare its conformity, dose coverage, and tissue sparing ability to EBRT. MATERIAL AND

methodsWe describe procedure of preparation of surface mould applicator and dosimetry parameters of BT plans, which were implemented in 10 individuals with NMSC of nose and earlobe. We evaluated dose coverage by minimal dose to 90% of planning target volume (PTV) (D90), volumes of PTV receiving 90-150% of prescribed dose (PD) (VPTV90-150), conformal index for 90 and 100% of PD (COIN90, COIN100), dose homogeneity index (DHI), dose nonuniformity ratio (DNR), exposure of organs. Prospectively, we created CT-based photons and electrons plans. We compared conformity (COIN90, COIN100), dose coverage of PTV (D90, VPTV90, VPTV100), volumes of body receiving 10-90% of PD (V10-V90) of EBRT and BT plans.

resultsWe obtained mean BT-DHI = 0.76, BT-DNR = 0.23, EBRT-DHI = 1.26. We observed no significant differences in VPTV90 and D90 between BT and EBRT. Mean BT-VPTV100 (89.4%) was higher than EBRT-VPTV100 (71.2%). Both COIN90 (BT-COIN90 = 0.46 vs. EBRT-COIN90 = 0.21) and COIN100 (BT-COIN100 = 0.52 vs. EBRT-COIN100 = 0.26) were superior for BT plans. We observed more exposure of normal tissues for small doses in BT plans (V10, V20), for high doses in EBRT plans (V70, V90).

conclusionsComputed tmography-based surface mould brachytherapy for superficial lesions on irregular surfaces is a highly conformal method with good homogeneity. Brachytherapy is superior to EBRT in those locations in terms of conformity and normal tissue sparing ability in high doses.

Indexed as

brachytherapyearmouldnoseskin cancer

Identifiers

PMID27504128
PMCPMC4965504
OpenAlexW2499593888

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.