Evidence map›Paper›PMID 27729942›Full record

ArticleEcancermedicalscience2016

VERO® radiotherapy for low burden cancer: 789 patients with 957 lesions.

R Orecchia, A Surgo, M Muto, A Ferrari, G Piperno, M A Gerardi, S Comi, C Garibaldi, D Ciardo, A Bazani and 8 more

Abstract read
In one paragraph

Article in Ecancermedicalscience, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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. Respiration-Induced Organ Motion Compensation: A Review.Annals of biomedical engineering · 2025
    Review
  2. Special stereotactic radiotherapy techniques: procedures and equipment for treatment simulation and dose delivery.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Recent advances in radiation oncology.Ecancermedicalscience · 2017
    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

18 authors.

R OrecchiaDepartment of Radiotherapy, European Institute of Oncology, Milan, Italy; Department of Oncology and Haemato-oncology, University of Milan, Milan, Italy; Equally contributed to the article.
A SurgoDepartment of Radiotherapy, European Institute of Oncology, Milan, Italy; Equally contributed to the article; Affiliation at the time of the study.
M MutoDepartment of Radiotherapy, European Institute of Oncology, Milan, Italy; Affiliation at the time of the study.
A FerrariDepartment of Radiotherapy, European Institute of Oncology, Milan, Italy.
G PipernoDepartment of Radiotherapy, European Institute of Oncology, Milan, Italy.
M A GerardiDepartment of Radiotherapy, European Institute of Oncology, Milan, Italy.
S ComiDepartment of Medical Physics, European Institute of Oncology, Milan, Italy.
C GaribaldiUnit of Radiation Research, European Institute of Oncology, Milan, Italy.
D CiardoDepartment of Radiotherapy, European Institute of Oncology, Milan, Italy.
A BazaniDepartment of Medical Physics, European Institute of Oncology, Milan, Italy.
F GolinoDepartment of Radiotherapy, European Institute of Oncology, Milan, Italy.
F PansiniDepartment of Medical Physics, European Institute of Oncology, Milan, Italy.
C FodorDepartment of Radiotherapy, European Institute of Oncology, Milan, Italy.
P RomanelliDepartment of Radiotherapy, European Institute of Oncology, Milan, Italy.
D MaestriUniversity of Milan, Milan, Italy; Department of Medical Physics, European Institute of Oncology, Milan, Italy.
V ScroffiDepartment of Radiotherapy, European Institute of Oncology, Milan, Italy.
S MazzaDepartment of Radiotherapy, European Institute of Oncology, Milan, Italy.
B A Jereczek-FossaDepartment of Radiotherapy, European Institute of Oncology, Milan, Italy; Department of Oncology and Haemato-oncology, University of Milan, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this retrospective study is to evaluate patient profile, feasibility, and acute toxicity of RadioTherapy (RT) delivered by VERO® in the first 20 months of clinical activity.

methodsInclusion criteria: 1) adult patients; 2) limited volume cancer (M0 or oligometastatic); 3) small extracranial lesions; 4) treatment between April 2012 and December 2013 and 5) written informed consent. Two techniques were employed: intensity modulated radiotherapy (IMRT) and stereotactic body radiotherapy (SBRT). Toxicity was evaluated using Radiation Therapy Oncology Group/European Organisation for Research and Treatment of Cancer (RTOG/EORTC) criteria.

resultsBetween April 2012 and December 2013, 789 consecutive patients (957 lesions) were treated. In 84% of them one lesion was treated and in 16% more than one lesion were treated synchronously/metachronously; first radiotherapy course in 85%, re-irradiation in 13%, and boost in 2% of cases. The treated region included pelvis 46%, thorax 38%, upper abdomen 15%, and neck 1%. Radiotherapy schedules included <5 and >5 fractions in 75% and 25% respectively. All patients completed the planned treatment and an acceptable acute toxicity was observed.

conclusionsRT delivered by VERO® was administrated predominantly to thoracic and pelvic lesions (lung and urologic tumours) using hypofractionation. It is a feasible approach for limited burden cancer offering short and well accepted treatment with favourable acute toxicity profile. Further investigation including dose escalation and other available VERO® functionalities such as real-time dynamic tumour tracking is warranted in order to fully evaluate this innovative radiotherapy system.

Indexed as

hypofractionationIMRTlow burden cancerSBRTVERO®-system

Identifiers

PMID27729942
PMCPMC5045299

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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.