Evidence map›Paper›PMID 28185275›Full record

ArticleLasers in surgery and medicine2017

Surface markers for guiding cylindrical diffuser fiber insertion in interstitial photodynamic therapy of head and neck cancer.

Emily Oakley, David A Bellnier, Alan Hutson, Brian Wrazen, Hassan Arshad, Harry Quon, Gal Shafirstein

Open access · greenAbstract read
In one paragraph

Article in Lasers in surgery and medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Internal light source for deep photodynamic therapy.Light, science & applications · 2022
    Article
  4. Article
  5. Article
  6. Irradiance, PhotofrinPhotochemistry and photobiology · 2020
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. 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

7 authors at 2 institutions in 1 country.

Emily OakleyPhotodynamic Therapy Center, Roswell Park Cancer Institute (RPCI), Buffalo, New York.
David A BellnierPhotodynamic Therapy Center, Roswell Park Cancer Institute (RPCI), Buffalo, New York.
Alan HutsonDepartment of Biostatistics and Bioinformatics, Roswell Park Cancer Institute (RPCI), Buffalo, New York.
Brian WrazenPhotodynamic Therapy Center, Roswell Park Cancer Institute (RPCI), Buffalo, New York.
Hassan ArshadPhotodynamic Therapy Center, Roswell Park Cancer Institute (RPCI), Buffalo, New York.
Harry QuonDepartment of Radiation Oncology and Molecular Radiation Sciences, Department of Otorhinolaryngology-Head and Neck Surgery, Department of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, Maryland.
Gal ShafirsteinPhotodynamic Therapy Center, Roswell Park Cancer Institute (RPCI), Buffalo, New York.
Roswell Park Comprehensive Cancer Center · USSidney Kimmel Comprehensive Cancer Center · US

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI MARK G FRATTINI · 1985 to 2026
$116.6M
StatisticsP01CA055791 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI GOLLNICK, SANDRA O. · 1992 to 2019
$36.0M
Integrated Image-guided Dosimetry & Treatment Planning PDTR01CA193610 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI SHAFIRSTEIN, GAL · 2016 to 2020
$2.5M
NCI NIH HHS P01 CA055791NCI NIH HHS P30 CA016056NCI NIH HHS R01 CA193610
6 · The paper itself

Abstract

BACKGROUND AND

objectivesImage-based treatment planning can be used to compute the delivered light dose during interstitial photodynamic therapy (I-PDT) of locally advanced head and neck squamous cell carcinoma (LA-HNSCC). The objectives of this work were to evaluate the use of surface fiducial markers and flexible adhesive grids in guiding interstitial placement of laser fibers, and to quantify the impact of discrepancies in fiber location on the expected light dose volume histograms (DVHs).

methodsSeven gel-based phantoms were made to mimic geometries of LA-HNSCC. Clinical flexible grids and fiducial markers were used to guide the insertion of optically transparent catheters, which are used to place cylindrical diffuser fibers within the phantoms. A computed tomography (CT) was used to image the markers and phantoms before and after catheter insertion and to determine the difference between the planned and actual location of the catheters. A finite element method was utilized to compute the light DVHs. Statistical analysis was employed to evaluate the accuracy of fiber placement and to investigate the correlation between the location of the fibers and the calculated DVHs.

resultsThere was a statistically significant difference (P = 0.018) between all seven phantoms in terms of the mean displacement. There was also statistically significant correlation between DVHs and depth of insertion (P = 0.0027), but not with the lateral displacement (P = 0.3043). The maximum difference between actual and planned DVH was related to the number of fibers (P = 0.0025) and the treatment time.

conclusionsSurface markers and a flexible grid can be used to assist in the administration of a prescribed DVH within 15% of the target dose provided that the treatment fibers are placed within 1.3 cm of the planned depth of insertion in anatomies mimicking LA-HNSCC. The results suggest that the number of cylindrical diffuser fibers and treatment time can impact the delivered DVHs. Lasers Surg. Med. 49:599-608, 2017. © 2017 Wiley Periodicals, Inc.

Indexed as

Fiducial MarkersAntineoplastic AgentsCarcinoma, Squamous CellCatheterizationHead and Neck NeoplasmsHumansModels, TheoreticalPhantoms, ImagingPhotochemotherapyPhotosensitizing AgentsSquamous Cell Carcinoma of Head and NeckTomography, X-Ray ComputedAntineoplastic AgentsPhotosensitizing Agentsand neck cancerfiducial markersfinite elementheadinterstitial photodynamic therapy

Identifiers

PMID28185275
PMCPMC5513772
OpenAlexW2587754963

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.