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Trial reportStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2017

Comparison of prostate positioning guided by three-dimensional transperineal ultrasound and cone beam CT.

Minglun Li, Hendrik Ballhausen, Nina-Sophie Hegemann, Michael Reiner, Stefan Tritschler, Christian Gratzke, Farkhad Manapov, Stefanie Corradini, Ute Ganswindt, Claus Belka

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  15. An IGRT margin concept for pelvic lymph nodes in high-risk prostate cancer.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2017
    Article
  16. 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

10 authors.

Minglun LiDepartment of Radiation Oncology, University Hospital Munich, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. minglun.li@med.uni-muenchen.de.
Hendrik BallhausenDepartment of Radiation Oncology, University Hospital Munich, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Nina-Sophie HegemannDepartment of Radiation Oncology, University Hospital Munich, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Michael ReinerDepartment of Radiation Oncology, University Hospital Munich, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Stefan TritschlerDepartment of Urology, University Hospital Munich, LMU Munich, 81377, Munich, Germany.
Christian GratzkeDepartment of Urology, University Hospital Munich, LMU Munich, 81377, Munich, Germany.
Farkhad ManapovDepartment of Radiation Oncology, University Hospital Munich, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Stefanie CorradiniDepartment of Radiation Oncology, University Hospital Munich, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Ute GanswindtDepartment of Radiation Oncology, University Hospital Munich, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Claus BelkaDepartment of Radiation Oncology, University Hospital Munich, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe accuracy of a transperineal three-dimensional ultrasound system (3DUS) was assessed for prostate positioning and compared to fiducial- and bone-based positioning in kV cone beam computed tomography (CBCT) during definitive radiotherapy of prostate cancer.

methodsEach of the 7 patients had three fiducial markers implanted into the prostate before treatment. Prostate positioning was simultaneously measured by 3DUS and CBCT before each fraction. In total, 177 pairs of 3DUS and CBCT scans were collected. Bone-match and seed-match were performed for each CBCT. Using seed-match as a reference, the accuracy of 3DUS and bone-match was evaluated. Systematic and random errors as well as optimal setup margins were calculated for 3DUS and bone-match.

resultsThe discrepancy between 3DUS and seed-match in CBCT (average ± standard deviation) was 0.0 ± 1.7 mm laterally, 0.2 ± 2.0 mm longitudinally, and 0.3 ± 1.7 mm vertically. Using seed-match as a reference, systematic errors for 3DUS were 1.2 mm, 1.1 mm, and 0.9 mm; and random errors were 1.4 mm, 1.8 mm, and 1.6 mm, on lateral, longitudinal, and vertical axes, respectively. By analogy, the difference of bone-match to seed-match was 0.1 ± 1.1 mm laterally, 1.3 ± 3.8 mm longitudinally, and 1.3 ± 4.5 mm vertically. Systematic errors were 0.5 mm, 2.2 mm, and 2.6 mm; and random errors were 1.0 mm, 3.1 mm, and 3.9 mm on lateral, longitudinal, and vertical axes, respectively. The accuracy of 3DUS was significantly higher than that of bone-match on longitudinal and vertical axes, but not on the lateral axis.

conclusionImage-guided radiotherapy of prostate cancer based on transperineal 3DUS was feasible, with overall small discrepancy to seed-match in CBCT in this retrospective study. Compared to bone-match, transperineal 3DUS achieved higher accuracy on longitudinal and vertical axes.

Indexed as

Anatomic LandmarksCone-Beam Computed TomographyEquipment DesignEquipment Failure AnalysisFiducial MarkersHumansImaging, Three-DimensionalMalePatient PositioningRadiotherapy DosageRadiotherapy, Image-GuidedReproducibility of ResultsSensitivity and SpecificityTreatment OutcomeUltrasonographyOrgans at riskProstate cancerRadiation oncologistsRadiotherapy, image-guidedRadiotherapy, intensity-modulated

Identifiers

What OpenQuestion holds

Textmetadata
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.