Evidence map›Paper›PMID 29485048›Full record

Trial reportInternational journal of radiation oncology, biology, physics2018

Improving Quality and Consistency in NRG Oncology Radiation Therapy Oncology Group 0631 for Spine Radiosurgery via Knowledge-Based Planning.

Kelly C Younge, Robin B Marsh, Dawn Owen, Huaizhi Geng, Ying Xiao, Daniel E Spratt, Joseph Foy, Krithika Suresh, Q Jackie Wu, Fang-Fang Yin and 2 more

Open access · greenAbstract readClinical Trial, Phase IIClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in International journal of radiation oncology, biology, physics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
7.8field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
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  15. Artificial Intelligence in Radiation Therapy.IEEE transactions on radiation and plasma medical sciences · 2022
    Article
  16. Article
  17. Review
  18. Knowledge-based radiation treatment planning: A data-driven method survey.Journal of applied clinical medical physics · 2021
    Review
  19. Machine learning applications in radiation oncology.Physics and imaging in radiation oncology · 2021
    Review
  20. Article
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 4 institutions in 1 country.

Kelly C YoungeDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan. Electronic address: kyounge@med.umich.edu.
Robin B MarshDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Dawn OwenDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Huaizhi GengImaging and Radiation Oncology Core Group, Philadelphia, Pennsylvania.
Ying XiaoImaging and Radiation Oncology Core Group, Philadelphia, Pennsylvania.
Daniel E SprattDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Joseph FoyDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Krithika SureshDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Q Jackie WuDepartment of Radiation Oncology, Duke University, Durham, North Carolina.
Fang-Fang YinDepartment of Radiation Oncology, Duke University, Durham, North Carolina.
Samuel RyuDepartment of Radiation Oncology, Stony Brook University, Stony Brook, New York.
Martha M MatuszakDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
University of Michigan–Ann Arbor · USDuke University · USRTOG Foundation · USStony Brook University · US

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Mei-Yin C Polley · 2014 to 2026
$146.4M
NRG Oncology NCORP Research Base-BIQSFPUG1CA189867 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Deborah Watkins Bruner, Lisa A. Kachnic · 2014 to 2026
$140.5M
UM LAPs- U10 GrantU10CA180801 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZALUPSKI, MARK M · 2014 to 2018
$3.7M
NCI NIH HHS U10 CA180801NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS UG1 CA189867
6 · The paper itself

Abstract

purposeTo use knowledge-based planning (KBP) as a method of producing high-quality, consistent, protocol-compliant treatment plans in a complex setting of spine stereotactic body radiation therapy on NRG Oncology Radiation Therapy Oncology Group (RTOG) 0631. METHODS AND MATERIALS: An internally developed KBP model was applied to an external validation cohort of 22 anonymized cases submitted under NRG Oncology RTOG 0631. The original and KBP plans were compared via their protocol compliance, target conformity and gradient index, dose to critical structures, and dose to surrounding normal tissues.

resultsThe KBP model generated plans meeting all protocol objectives in a single optimization when tested on both internal and protocol-submitted NRG Oncology RTOG 0631 cases. Two submitted plans that were considered to have a protocol-unacceptable deviation were made protocol compliant through the use of the model. There were no statistically significant differences in protocol spinal cord metrics (D10% and D0.03cc) between the manually optimized plans and the KBP plans. The volume of planning target volume receiving prescription dose increased from 93.3% ± 3.2% to 98.3% ± 1.4% (P = .01) when using KBP. High-dose spillage to surrounding normal tissues (V105%) showed no significant differences (2.1 ± 7.3 cm

conclusionIncorporation of KBP models into the clinical trial setting may have a profound impact on the quality of trial results, owing to the increase in consistency and standardization of planning, especially for treatment sites or techniques that are nonstandard.

Indexed as

Cauda EquinaClinical Trials as TopicHumansKnowledge BasesOrgans at RiskQuality ImprovementQuality of LifeRadiation OncologyRadiosurgeryRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedRelative Biological EffectivenessSpinal NeoplasmsSpine

Identifiers

PMID29485048
PMCPMC5915303
OpenAlexW2781561490

What OpenQuestion holds

Textmetadata
LicenceTDM
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.