Evidence map›Paper›PMID 29446317›Full record

Trial reportThe British journal of radiology2018

Credentialing of radiotherapy centres in Australasia for TROG 09.02 (Chisel), a Phase III clinical trial on stereotactic ablative body radiotherapy of early stage lung cancer.

Tomas Kron, Brent Chesson, Nicholas Hardcastle, Melissa Crain, Natalie Clements, Mark Burns, David Ball

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report 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. It is linked to trial NCT01014130 (A Randomised Phase III Trial of Highly Conformal Hypofractionated Image Guided), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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.

NCT01014130 phase3unknown statusnot on this map

A Randomised Phase III Trial of Highly Conformal Hypofractionated Image Guided ("Stereotactic") Radiotherapy (HypoRT) Versus Conventionally Fractionated Radiotherapy (ConRT) for Inoperable Early Stage I Non-small Cell Lung Cancer (CHISEL)

TypeinterventionalSponsorTrans Tasman Radiation Oncology GroupRan2009 to 2020Enrolled101ConditionsNon Small Cell Lung CancerArmsHypofractionated radiotherapy (HypoRT), Conventionally Fractionated Radiotherapy (ConRT)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Lung SBRT credentialing in the Canadian OCOG-LUSTRE randomized trial.Clinical and translational radiation oncology · 2022
    Article
  6. Article
  7. Review
  8. Independent review of 4DCT scans used for SABR treatment planning.Journal of applied clinical medical physics · 2020
    Article
  9. 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.

Tomas Kron1 Department of Physical Sciences, Peter MacCallum Cancer Centre , Melbourne, VIC , Australia.
Brent Chesson3 Department of Radiation Therapy Services, Peter MacCallum Cancer Centre , Melbourne, VIC , Australia.
Nicholas Hardcastle1 Department of Physical Sciences, Peter MacCallum Cancer Centre , Melbourne, VIC , Australia.
Melissa Crain4 Trans Tasman Radiation Oncology Group (TROG) , Newcastle, NSW , Australia.
Natalie Clements5 Tom Baker Cancer Centre , Calgary, AB , Canada.
Mark Burns3 Department of Radiation Therapy Services, Peter MacCallum Cancer Centre , Melbourne, VIC , Australia.
David Ball2 Sir Peter MacCallum Department of Oncology, University of Melbourne , Parkville, VIC , Australia.
Peter MacCallum Cancer Centre · AUUniversity of Melbourne · AUTrans Tasman Radiation Oncology Group · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA randomised clinical trial comparing stereotactic ablative body radiotherapy (SABR) with conventional radiotherapy for early stage lung cancer has been conducted in Australia and New Zealand under the auspices of the TransTasman Radiation Oncology Group (NCT01014130). We report on the technical credentialing program as prerequisite for centres joining the trial.

methodsParticipating centres were asked to develop treatment plans for two test cases to assess their ability to create plans according to protocol. Dose delivery in the presence of inhomogeneity and motion was assessed during a site visit using a phantom with moving inserts.

resultsSite visits for the trial were conducted in 16 Australian and 3 New Zealand radiotherapy facilities. The tests with low density inhomogeneities confirmed shortcomings of the AAA algorithm for dose calculation. Dose was assessed for a typical treatment delivery including at least one non-coplanar beam in a stationary and moving phantom. This end-to-end test confirmed that all participating centres were able to deliver stereotactic ablative body radiotherapy with the required accuracy while the planning study demonstrated that they were able to produce acceptable plans for both test cases.

conclusionThe credentialing process documented that participating centres were able to deliver dose as required in the trial protocol. It also gave an opportunity to provide education about the trial and discuss technical issues such as four-dimensional CT, small field dosimetry and patient immobilisation with staff in participating centres. Advances in knowledge: Credentialing is an important quality assurance tool for radiotherapy trials using advanced technology. In addition to confirming technical competence, it provides an opportunity for education and discussion about the trial.

Indexed as

AustralasiaCredentialingHumansLung NeoplasmsPhantoms, ImagingRadiosurgeryRadiotherapy Planning, Computer-AssistedTomography, X-Ray Computed

Identifiers

PMID29446317
PMCPMC6190775
OpenAlexW2788395607

What OpenQuestion holds

Textmetadata
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.