Evidence map›Paper›PMID 28057036›Full record

ArticleRadiation oncology (London, England)2017

Clinical outcomes of stage I and IIA non-small cell lung cancer patients treated with stereotactic body radiotherapy using a real-time tumor-tracking radiotherapy system.

Norio Katoh, Itaru Soda, Hiroyasu Tamamura, Shotaro Takahashi, Yusuke Uchinami, Hiromichi Ishiyama, Kiyotaka Ota, Tetsuya Inoue, Rikiya Onimaru, Keiko Shibuya and 2 more

Open access · goldAbstract read
In one paragraph

Article in Radiation oncology (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 17 citations in OpenAlex.

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  6. Time for standardization of SBRT planning through large scale clinical data and guideline-based approaches.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2017
    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

12 authors at 5 institutions in 1 country.

Norio KatohDepartment of Radiation Oncology, Hokkaido University Hospital, North-14 West-5, Kita-ku, Sapporo, Japan. noriwokatoh@med.hokudai.ac.jp.
Itaru SodaDepartment of Radiology and Radiation Oncology, Kitasato University School of Medicine, Sagamihara, Japan.
Hiroyasu TamamuraDepartment of Nuclear Medicine, Fukui Prefectural Hospital, Fukui, Japan.
Shotaro TakahashiDepartment of Therapeutic Radiology, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Yusuke UchinamiDepartment of Radiation Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Hiromichi IshiyamaDepartment of Radiology and Radiation Oncology, Kitasato University School of Medicine, Sagamihara, Japan.
Kiyotaka OtaDepartment of Nuclear Medicine, Fukui Prefectural Hospital, Fukui, Japan.
Tetsuya InoueDepartment of Radiation Oncology, Hokkaido University Hospital, North-14 West-5, Kita-ku, Sapporo, Japan.
Rikiya OnimaruDepartment of Radiation Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Keiko ShibuyaDepartment of Therapeutic Radiology, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Kazushige HayakawaDepartment of Radiology and Radiation Oncology, Kitasato University School of Medicine, Sagamihara, Japan.
Hiroki ShiratoGlobal Station for Quantum Medical Science and Engineering, Global Institution for Collaborative Research and Education (GI-CoRE), Hokkaido University, Sapporo, Japan.
Hokkaido University · JPKitasato University · JPFukui Prefectural Hospital · JPHokkaido University Hospital · JPYamaguchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the clinical outcomes of stage I and IIA non-small cell lung cancer (NSCLC) patients treated with stereotactic body radiotherapy (SBRT) using a real-time tumor-tracking radiotherapy (RTRT) system. MATERIALS AND

methodsPatterns-of-care in SBRT using RTRT for histologically proven, peripherally located, stage I and IIA NSCLC was retrospectively investigated in four institutions by an identical clinical report format. Patterns-of-outcomes was also investigated in the same manner.

resultsFrom September 2000 to April 2012, 283 patients with 286 tumors were identified. The median age was 78 years (52-90) and the maximum tumor diameters were 9 to 65 mm with a median of 24 mm. The calculated biologically effective dose (10) at the isocenter using the linear-quadratic model was from 66 Gy to 126 Gy with a median of 106 Gy. With a median follow-up period of 28 months (range 0-127), the overall survival rate for the entire group, for stage IA, and for stage IB + IIA was 75%, 79%, and 65% at 2 years, and 64%, 70%, and 50% at 3 years, respectively. In the multivariate analysis, the favorable predictive factor was female for overall survival. There were no differences between the clinical outcomes at the four institutions. Grade 2, 3, 4, and 5 radiation pneumonitis was experienced by 29 (10.2%), 9 (3.2%), 0, and 0 patients. The subgroup analyses revealed that compared to margins from gross tumor volume (GTV) to planning target volume (PTV) ≥ 10 mm, margins < 10 mm did not worsen the overall survival and local control rates, while reducing the risk of radiation pneumonitis.

conclusionsThis multi-institutional retrospective study showed that the results were consistent with the recent patterns-of-care and patterns-of-outcome analysis of SBRT. A prospective study will be required to evaluate SBRT using a RTRT system with margins from GTV to PTV < 10mm.

Indexed as

Computer SystemsRadiosurgeryAdenocarcinomaAgedAged, 80 and overCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellFemaleFiducial MarkersFollow-Up StudiesHumansLung NeoplasmsMagnetic Resonance ImagingMaleMiddle AgedNeoplasm StagingGated radiotherapyImage-guided radiotherapyNon-small cell lung cancerReal-time tumor-tracking radiotherapyStereotactic body radiotherapy

Identifiers

PMID28057036
PMCPMC5217432
OpenAlexW2570843003

What OpenQuestion holds

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LicenceCC BY
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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.