Evidence map›Paper›PMID 28274211›Full record

Trial reportBMC cancer2017

Redefining radiotherapy for early-stage breast cancer with single dose ablative treatment: a study protocol.

R K Charaghvandi, B van Asselen, M E P Philippens, H M Verkooijen, C H van Gils, P J van Diest, R M Pijnappel, M G G Hobbelink, A J Witkamp, T van Dalen and 5 more

Registry-linked trialOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in BMC cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02316561 (Single Dose Ablative Preoperative Radiation Treatment for Early-Stage Breast Cancer in Elderly Patients), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.2field-weighted citation impact, top 24% 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.

NCT02316561 nacompletednot on this map

Single Dose Ablative Preoperative Radiation Treatment for Early-Stage Breast Cancer in Elderly Patients

TypeinterventionalSponsorUMC UtrechtRan2014 to 2018Enrolled25ConditionsBreast NeoplasmArmsSingle dose ablative radiotherapy
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Preoperative partial breast radiation for favorable early-stage breast cancer: a narrative review.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2025
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Adaptive radiotherapy for breast cancer.Clinical and translational radiation oncology · 2023
    Review
  9. Radiotherapy of early-stage breast cancer.Precision radiation oncology · 2023
    Review
  10. Article
  11. Article
  12. Review
  13. MRI-Guided Radiation Therapy.Advances in oncology · 2021
    Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

15 authors at 3 institutions in 1 country.

R K CharaghvandiDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands. r.charaghvandi@umcutrecht.nl.
B van AsselenDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
M E P PhilippensDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
H M VerkooijenImaging Division, University Medical Center Utrecht, Utrecht, The Netherlands.
C H van GilsJulius Center, University Medical Center Utrecht, Utrecht, The Netherlands.
P J van DiestDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
R M PijnappelImaging Division, University Medical Center Utrecht, Utrecht, The Netherlands.
M G G HobbelinkDepartment of Radiology and Nuclear Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
A J WitkampDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
T van DalenDepartment of Surgery, Diakonessenhuis, Utrecht, The Netherlands.
E van der WallDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
T C van HeijstDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
R KoelemijDepartment of Surgery, St. Antonius, Nieuwegein, The Netherlands.
M van VulpenDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
H J G D van den BongardDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLDiakonessenhuis hospital · NLSt. Antonius Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA shift towards less burdening and more patient friendly treatments for breast cancer is currently ongoing. In low-risk patients with early-stage disease, accelerated partial breast irradiation (APBI) is an alternative for whole breast irradiation following breast-conserving surgery. MRI-guided single dose ablative APBI has the potential to offer a minimally burdening, non-invasive treatment that could replace current breast-conserving therapy.

methodsThe ABLATIVE study is a prospective, single arm, multicenter study evaluating preoperative, single dose, ablative radiation treatment in patients with early-stage breast cancer. Patients with core biopsy proven non-lobular invasive breast cancer, (estrogen receptor positive, Her2 negative, maximum tumor size 3.0 cm on diagnostic MRI) and a negative sentinel node biopsy are eligible. Radiotherapy (RT) planning will be performed using a contrast enhanced (CE) planning CT-scan, co-registered with a CE-MRI, both in supine RT position. A total of twenty-five consecutive patients will be treated with a single ablative RT dose of 20 Gy to the tumor and 15 Gy to the tumorbed. Follow-up MRIs are scheduled within 1 week, 2, 4 and 6 months after single-dose RT. Breast-conserving surgery is scheduled at six months following RT. Primary study endpoint is pathological complete response. Secondary study endpoints are the radiological response and toxicity. Furthermore, patients will fill out questionnaires on quality of life and functional status. Cosmetic outcome will be evaluated by the treating radiation oncologist, patient and 'Breast Cancer Conservation Treatment cosmetic results' software. Recurrence and survival rates will be assessed. The patients will be followed up to 10 years after diagnosis. If patients give additional informed consent, a biopsy and a part of the irradiated specimen will be stored at the local Biobank and used for future research on radiotherapy response associated genotyping. DISCUSSION: The ABLATIVE study evaluates MRI-guided single dose ablative RT in patients with early-stage breast cancer, aiming at a less burdening and non-invasive alternative for current breast-conserving treatment.

trial registrationClinicalTrials.gov registration number NCT02316561 . The trial was registrated prospectively on October 10th 2014.

Indexed as

AgedAged, 80 and overBreast NeoplasmsFemaleHumansMagnetic Resonance ImagingMiddle AgedNeoplasm StagingPreoperative CareProspective StudiesQuality of LifeRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedTomography, X-Ray ComputedTreatment OutcomeAblativeBreast cancerMRI-guidancePartial breast irradiationRadiosurgery

Identifiers

PMID28274211
PMCPMC5343419
OpenAlexW2592150536

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.