Evidence map›Paper›PMID 29594203›Full record

ArticleClinical and translational radiation oncology2017

Association between cumulative radiation dose, adverse skin reactions, and changes in surface hemoglobin among women undergoing breast conserving therapy.

Michael S Chin, Leah Siegel-Reamer, Gordon A FitzGerald, Allison Wyman, Nikole M Connor, Yuan-Chyuan Lo, Shirin Sioshansi, Janaki Moni, Maria Giulia Cicchetti, Janice F Lalikos and 1 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 16 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Michael S ChinOccupational and Environmental Medicine Program, Harvard T.H. Chan School of Public Health, USA.
Leah Siegel-ReamerDepartment of Surgery, University of Massachusetts Medical School, USA.
Gordon A FitzGeraldDepartment of Surgery, University of Massachusetts Medical School, USA.
Allison WymanDepartment of Surgery, University of Massachusetts Medical School, USA.
Nikole M ConnorDepartment of Radiation Oncology, University of Massachusetts Medical School, USA.
Yuan-Chyuan LoDepartment of Radiation Oncology, University of Massachusetts Medical School, USA.
Shirin SioshansiDepartment of Radiation Oncology, University of Massachusetts Medical School, USA.
Janaki MoniDepartment of Radiation Oncology, University of Massachusetts Medical School, USA.
Maria Giulia CicchettiDepartment of Radiation Oncology, University of Massachusetts Medical School, USA.
Janice F LalikosDepartment of Surgery, University of Massachusetts Medical School, USA.
Thomas J FitzGeraldDepartment of Radiation Oncology, University of Massachusetts Medical School, USA.
University of Massachusetts Chan Medical School · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRadiation therapy is crucial to effective cancer treatment. Modern treatment strategies have reduced possible skin injury, but few clinical studies have addressed the dose relationship between radiation exposure and skin reaction

methodsForty-three women undergoing breast conserving therapy were enrolled in this study. Optically stimulated luminescent dosimeters (OSLDs) measured radiation exposure in four sites: treatment breast, lumpectomy scar, medial tattoo and the control breast. The oxygenation/perfusion states of these sites were prospectively imaged before and after each treatment fraction with HSI. Visual skin reactions were classified according to the RTOG system.

results2753 observations were obtained and indicated a dose-response relationship between radiation exposure and oxygenated hemoglobin (OxyHb) after a 600 cGy cumulative dose threshold. There was a relatively weak association between DeoxyHb and radiation exposure. Results suggest strong correlations between changes in mean OxyHb and skin reaction as well as between radiation exposure and changes in skin reaction.

conclusionHSI demonstrates promise in the assessment of skin dose as well as an objective measure of skin reaction. The ability to easily identify adverse skin reactions and to modify the treatment plan may circumvent the need for detrimental treatment breaks.

Indexed as

Breast cancerHyperspectral imagingOxygenationPerfusionRadiodermatitisSkin injury

Identifiers

PMID29594203
PMCPMC5833900
OpenAlexW2614469106

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.