Evidence map›Paper›PMID 29566762›Full record

ArticleRadiation oncology (London, England)2018

Partial breast irradiation with CyberKnife after breast conserving surgery: a pilot study in early breast cancer.

Laura Lozza, Laura Fariselli, Marco Sandri, Mario Rampa, Valentina Pinzi, Maria Carmen De Santis, Marzia Franceschini, Giovanna Trecate, Ilaria Maugeri, Luisa Fumagalli and 5 more

3 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article in Radiation oncology (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 20% 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.

NCT02896322 naunknown statusnot on this map

Partial Breast Irradiation With Cyber Knife After Breast Conserving Surgery: A Pilot Study in Early Breast Cancer

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2013 to 2018Enrolled80ConditionsBreast CancerArmsPartial breast irradiation with cyberknife
NCT05071105 narecruitingnot on this mapstarted 2021, after this paper: background citation

Stereotactic Ablative Body Radiotherapy in Elderly Women With Early Breast Cancer Unsuitable for Surgery and Elected to Receive Primary Endocrine Therapy Alone

TypeinterventionalSponsorUniversity of Rome Tor VergataRan2021 to 2026Enrolled30ConditionsBreast Neoplasm FemaleArmsStereotactic Body Radiation Therapy
NCT06946238 narecruitingnot on this mapstarted 2025, after this paper: background citation

Accelerated Partial Breast Irradiation in One Fraction for Patients With Early-stage Disease and Favorable Histological Subtypes (Breast-1F).

TypeinterventionalSponsorIRCCS San RaffaeleRan2025 to 2035Enrolled311ConditionsBreast CancerArmsAdjuvant single-fraction accelerated partial breast irradiation
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. DEGRO practical guideline for partial-breast irradiation.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
    Guideline
  3. 5-year results of accelerated partial breast irradiation (APBI) with SBRT (stereotactic body radiation therapy) and exactrac adaptive gating (NovalisClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Review
  9. One-week external beam partial breast irradiation: survival and toxicity outcomes.Journal of cancer research and clinical oncology · 2023
    Article
  10. CyberKnife versus multicatheter interstitial brachytherapy for accelerated partial breast irradiation: a dosimetrical assessment with focus on organs at risk.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Article
  11. Review
  12. Review
  13. Article
  14. VMAT partial-breast irradiation: acute toxicity of hypofractionated schedules of 30 Gy in five daily fractions.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
    Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. 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

15 authors at 2 institutions in 1 country.

Laura LozzaRadiotherapy Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Laura FariselliHealth Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Marco SandriMolecular Targeting Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Mario RampaBreast Surgery Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Valentina PinziHealth Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Maria Carmen De SantisRadiotherapy Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Marzia FranceschiniRadiotherapy Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Giovanna TrecateRadiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Ilaria MaugeriBreast Surgery Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Luisa FumagalliHealth Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Francesca BonfantiniMedical Physics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Giulia BianchiMedical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Emanuele PignoliMedical Physics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Elena De MartinHealth Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Roberto AgrestiBreast Surgery Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy. roberto.agresti@istitutotumori.mi.it.ORCID http://orcid.org/0000-0003-4700-1951
Fondazione IRCCS Istituto Nazionale dei Tumori · ITFondazione IRCCS Istituto Neurologico Carlo Besta · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLocal recurrences after breast conserving treatment are mainly close to the original tumor site, and as such shorter fractionation strategies focused on and nearest mammary gland, i.e. accelerated partial breast irradiation (APBI), have been developed. Stereotactic APBI has been attempted, although there is little experience using CyberKnife (CK) for early breast cancer.

methodsThis pilot study was designed to assess the feasibility of CK-APBI on 20 evaluable patients of 29 eligible, followed for 2 years. The primary endpoint was acute/sub-acute toxicity; secondary endpoints were late toxicity and the cosmetic result.

resultsMean pathological tumor size was 10.5 mm (±4.3, range 3-18), 8 of these patients were classified as LumA-like, 11 as LumB-like, and 1 as LumB-HER2-enriched. Using CK-APBI with Iris, the treatment time was approximately 60 min (range~ 35 to ~ 120). All patients received 30 Gy in five fractions delivered to the PTV. The median number of beams was 180 (IQR 107-213; range:56-325) with a median PTV isodose prescription of 86.0% (IQR 85.0-88.5; range:82-94). The median PTV was 88.1 cm3 (IQR 63.8-108.6; range:32.3-238.8). The median breast V100 and V50 was 0.6 (IQR 0.1-1.5; range:0-13) and 18.6 (IQR 13.1-21.7; range:7.5-37), respectively. The median PTV minimum dose was 26.2 Gy (IQR 24.7-27.6; range 22.3-29.3). Mild side effects were recorded during the period of observation. Cosmetic evaluations were performed by three observers from the start of radiotherapy up to 2 years. Patients' evaluation progressively increase from 60% to 85% of excellent rating; this trend was similar to that of external observer.

conclusionsThese preliminary results showed the safe feasibility of CK-APBI in early breast cancer, with mild acute and late toxicity and very good cosmetic results.

trial registrationThe present study is registered at Clinicaltrial.gov ( NCT02896322 ). Retrospectively egistered August 4, 2016.

Indexed as

AgedAged, 80 and overBreast NeoplasmsCarcinoma, Ductal, BreastFemaleHumansMastectomy, SegmentalMiddle AgedNeoplasm Recurrence, LocalPilot ProjectsRadiosurgeryRadiotherapy, AdjuvantRadiotherapy Planning, Computer-Assisted

Identifiers

PMID29566762
PMCPMC5865347
OpenAlexW2797455232

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.