Evidence map›Paper›PMID 29393674›Full record

ArticleThe British journal of radiology2018

Target volume motion during anal cancer image guided radiotherapy using cone-beam computed tomography.

Corrinne J Brooks, Laurence Bernier, Vibeke N Hansen, Diana M Tait

Abstract read
In one paragraph

Article in The British journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Optimising chemoradiotherapy in anal cancer.ESMO gastrointestinal oncology · 2026
    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

4 authors.

Corrinne J Brooks1 Joint Department of Physics, The Royal Marsden NHS Foundation Trust , Sutton , UK.
Laurence Bernier2 Department of Clinical Oncology, The Royal Marsden NHS Foundation Trust , Sutton , UK.
Vibeke N Hansen1 Joint Department of Physics, The Royal Marsden NHS Foundation Trust , Sutton , UK.
Diana M Tait2 Department of Clinical Oncology, The Royal Marsden NHS Foundation Trust , Sutton , UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLiterature regarding image-guidance and interfractional motion of the anal canal (AC) during anal cancer radiotherapy is sparse. This study investigates interfractional AC motion during anal cancer radiotherapy.

methodsBone matched cone beam CT (CBCT) images were acquired for 20 patients receiving anal cancer radiotherapy allowing population systematic and random error calculations. 12 were selected to investigate interfractional AC motion. Primary anal gross tumour volume and clinical target volume (CTVa) were contoured on each CBCT. CBCT CTVa volumes were compared to planning CTVa. CBCT CTVa volumes were combined into a CBCT-CTVa envelope for each patient. Maximum distortion between each orthogonal border of the planning CTVa and CBCT-CTVa envelope was measured. Frequency, volume and location of CBCT-CTVa envelope beyond the planning target volume (PTVa) was analysed.

resultsPopulation systematic and random errors were 1 and 3 mm respectively. 112 CBCTs were analysed in the interfractional motion study. CTVa varied between each imaging session particularly T location patients of anorectal origin. CTVa border expansions ≥ 1 cm were seen inferiorly, anteriorly, posteriorly and left direction. The CBCT-CTVa envelope fell beyond the PTVa ≥ 50% imaging sessions (n = 5). Of these CBCT CTVa distortions beyond PTVa, 44% and 32% were in the upper and lower thirds of PTVa respectively.

conclusionThe AC is susceptible to volume changes and shape deformations. Care must be taken when calculating or considering reducing the PTV margin to the anus. Advances in knowledge: Within a limited field of research, this study provides further knowledge of how the AC deforms during anal cancer radiotherapy.

Indexed as

AdultAgedAged, 80 and overAnal CanalAnus NeoplasmsCone-Beam Computed TomographyFemaleHumansMaleMiddle AgedMotionRadiotherapy DosageRadiotherapy, Image-GuidedRadiotherapy Planning, Computer-AssistedTumor Burden

Identifiers

PMID29393674
PMCPMC6190785

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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.