Evidence map›Paper›PMID 28733723›Full record

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

An individualized radiation dose escalation trial in non-small cell lung cancer based on FDG-PET imaging.

Marie Wanet, Antoine Delor, François-Xavier Hanin, Benoît Ghaye, Aline Van Maanen, Vincent Remouchamps, Christian Clermont, Samuel Goossens, John Aldo Lee, Guillaume Janssens and 2 more

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

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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 2 institutions in 1 country.

Marie WanetCenter of Molecular Imaging, Radiotherapy and Oncology (MIRO), Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Avenue Hippocrate, 54 Bte B1.54.07, 1200, Brussels, Belgium. marie.wanet@cmsenamur.be.
Antoine DelorDepartment of Radiation Oncology, Cliniques universitaires Saint-Luc, 1200, Brussels, Belgium.
François-Xavier HaninDepartment of Nuclear Medicine, Cliniques universitaires Saint-Luc, 1200, Brussels, Belgium.
Benoît GhayeDepartment of Radiology, Cliniques universitaires Saint-Luc, 1200, Brussels, Belgium.
Aline Van MaanenStatistical Support Unit, Cancer Centre, Cliniques universitaires Saint-Luc, 1200, Brussels, Belgium.
Vincent RemouchampsDepartment of Radiation Oncology, CHU UCL Namur, Clinique et Maternité Sainte Elisabeth Namur, 5000, Namur, Belgium.
Christian ClermontDepartment of Radiation Oncology, CHU UCL Namur, Clinique et Maternité Sainte Elisabeth Namur, 5000, Namur, Belgium.
Samuel GoossensCenter of Molecular Imaging, Radiotherapy and Oncology (MIRO), Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Avenue Hippocrate, 54 Bte B1.54.07, 1200, Brussels, Belgium.
John Aldo LeeCenter of Molecular Imaging, Radiotherapy and Oncology (MIRO), Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Avenue Hippocrate, 54 Bte B1.54.07, 1200, Brussels, Belgium.
Guillaume JanssensCenter of Molecular Imaging, Radiotherapy and Oncology (MIRO), Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Avenue Hippocrate, 54 Bte B1.54.07, 1200, Brussels, Belgium.
Anne BolCenter of Molecular Imaging, Radiotherapy and Oncology (MIRO), Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Avenue Hippocrate, 54 Bte B1.54.07, 1200, Brussels, Belgium.
Xavier GeetsCenter of Molecular Imaging, Radiotherapy and Oncology (MIRO), Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Avenue Hippocrate, 54 Bte B1.54.07, 1200, Brussels, Belgium.
UCLouvain · BECliniques Universitaires Saint-Luc · BE

Funding

Fonds De La Recherche Scientifique - FNRS 7.4537.09Fonds De La Recherche Scientifique - FNRS FC 63880
6 · The paper itself

Abstract

aimThe aim of the study was to assess the feasibility of an individualized 18F fluorodeoxyglucose positron emission tomography (FDG-PET)-guided dose escalation boost in non-small cell lung cancer (NSCLC) patients and to assess its impact on local tumor control and toxicity. PATIENTS AND

methodsA total of 13 patients with stage II-III NSCLC were enrolled to receive a dose of 62.5 Gy in 25 fractions to the CT-based planning target volume (PTV; primary turmor and affected lymph nodes). The fraction dose was increased within the individual PET-based PTV (PTV

resultsThe average dose to PTV

conclusionThese results suggest that a non-uniform and individualized dose escalation based on FDG-PET in IMRT delivery is feasible. The doses reached were higher in patients with peripheral compared to central tumors. This strategy enables good local control to be achieved at acceptable toxicity rates. However, dose escalation in centrally located tumors with direct invasion of mediastinal organs must be performed with great caution in order to avoid severe late toxicity.

Indexed as

Fluorodeoxyglucose F18AgedCarcinoma, Non-Small-Cell LungDose Fractionation, RadiationDose-Response Relationship, RadiationFeasibility StudiesFemaleHumansLung NeoplasmsMaleMiddle AgedPatient-Centered CarePositron-Emission TomographyRadiopharmaceuticalsRadiotherapy, Image-GuidedRadiotherapy Planning, Computer-AssistedFluorodeoxyglucose F18RadiopharmaceuticalsDose escalationFDG-PET imagingIntensity modulated radiotherapyNon-small cell lung cancerToxicity

Identifiers

PMID28733723
OpenAlexW2738498609

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.