Evidence map›Paper›PMID 28901729›Full record

ArticleJournal of applied clinical medical physics2017

Magnetic field dose effects on different radiation beam geometries for hypofractionated partial breast irradiation.

Anthony Kim, Stephanie Lim-Reinders, Claire McCann, Syed Bilal Ahmad, Arjun Sahgal, Justin Lee, Brian M Keller

Open access · goldAbstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Adaptive radiotherapy for breast cancer.Clinical and translational radiation oncology · 2023
    Review
  5. Estimation of secondary cancer projected risk after partial breast irradiation at the 1.5 T MR-linac.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2022
    Article
  6. Article
  7. MRI-Guided Radiation Therapy.Advances in oncology · 2021
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. 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

7 authors at 3 institutions in 1 country.

Anthony KimDepartment of Medical Physics, Sunnybrook Health Sciences Centre/Odette Cancer Centre, Toronto, ON, Canada.
Stephanie Lim-ReindersDepartment of Medical Physics, Sunnybrook Health Sciences Centre/Odette Cancer Centre, Toronto, ON, Canada.
Claire McCannDepartment of Medical Physics, Sunnybrook Health Sciences Centre/Odette Cancer Centre, Toronto, ON, Canada.
Syed Bilal AhmadDepartment of Medical Physics, Sunnybrook Health Sciences Centre/Odette Cancer Centre, Toronto, ON, Canada.
Arjun SahgalFaculty of Medicine, Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada.
Justin LeeFaculty of Medicine, Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada.
Brian M KellerDepartment of Medical Physics, Sunnybrook Health Sciences Centre/Odette Cancer Centre, Toronto, ON, Canada.
Sunnybrook Health Science Centre · CAHealth Sciences Centre · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHypofractionated partial breast irradiation (HPBI) involves treatment to the breast tumor using high doses per fraction. Recent advances in MRI-Linac solutions have potential in being applied to HPBI due to gains in the soft tissue contrast of MRI; however, there are potentially deleterious effects of the magnetic field on the dose distribution. The purpose of this work is to determine the effects of the magnetic field on the dose distribution for HPBI tumors using a tangential beam arrangement (TAN), 5-beam intensity-modulated radiation therapy (IMRT), and volumetric modulated arc therapy (VMAT).

methodsFive patients who have received HPBI were selected with two patients having bilateral disease resulting in a total of two tumors in this study. Six planning configurations were created using a treatment planning system capable of modeling magnetic field dose effects: TAN, IMRT and VMAT beam geometries, each of these optimized with and without a transverse magnetic field of 1.5 T.

resultsThe heart and lung doses were not statistically significant when comparing plan configurations. The magnetic field had a demonstrated effect on skin dose: for VMAT plans, the skin (defined to a depth of 3 mm) D1cc was elevated by +11% and the V30 by +146%; for IMRT plans, the skin D1cc was increased by +18% and the V30 by +149%. Increasing the number of beam angles (e.g., going from IMRT to VMAT) with the magnetic field on reduced the skin dose.

conclusionThe impact of a magnetic field on HPBI dose distributions was analyzed. The heart and lung doses had clinically negligible effects caused by the magnetic field. The magnetic field increases the skin dose; however, this can be mitigated by increasing the number of beam angles.

Indexed as

Dose Fractionation, RadiationMagnetic FieldsBreast NeoplasmsFemaleHumansMagnetic Resonance ImagingOrgans at RiskParticle AcceleratorsRadiometryRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-Assistedinterface effectsmagnetic dose effectsMonte CarloMRI linacpartial breast irradiation

Identifiers

PMID28901729
PMCPMC5689934
OpenAlexW2754715013

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.