Evidence map›Paper›PMID 29594251›Full record

ReviewClinical and translational radiation oncology2018

The EMBRACE II study: The outcome and prospect of two decades of evolution within the GEC-ESTRO GYN working group and the EMBRACE studies.

Richard Pötter, Kari Tanderup, Christian Kirisits, Astrid de Leeuw, Kathrin Kirchheiner, Remi Nout, Li Tee Tan, Christine Haie-Meder, Umesh Mahantshetty, Barbara Segedin and 21 more

3 registry-linked trialsAbstract readReview
In one paragraph

Review in Clinical and translational radiation oncology, 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 365 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
365citing papers in PubMed, 2 pooled it
–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.

NCT04184154 completednot on this map

Vaginal Dilatators and Moisturizers Use and Sexual Quality of Life of Patients With Gynecologic Cancer Treated With Brachytherapy.

TypeobservationalSponsorInstitut du Cancer de Montpellier - Val d'AurelleRan2017 to 2017Enrolled167ConditionsPelvic Cancer, Cervical CancerArmsQuestionnaires
NCT07249021 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Integration of Multi-modality Imaging Protocols With emphAsis on CT in Image Guided Adaptive Brachytherapy (IGABT) for Cervical Cancer - EMBRACE III-IMPACT STUDY

TypeobservationalSponsorHomi Bhabha Cancer Hospital & Research CentreRan2025 to 2031Enrolled1,200ConditionsLocally Advanced Cervical Cancer, Brachytherapy, CT, Transrectal UltrasoundArmsCT IGABT
NCT07290972 recruitingnot on this mapstarted 2021, after this paper: background citation

Compliance to Cervical Cancer Chemoradiation Guidelines: A Implementation Audit and Resource Assessment Initiative of National Cancer Grid of India

Typeobservational_patient_registrySponsorTata Memorial HospitalRan2021 to 2026Enrolled618ConditionsCervical Cancer Screening, Gynecologic Cancers, Treatment Compliance, ChemoradiotherapyArmsNot applicable- observational study
3 · Its place in the literature

Who cites it

365 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Impact of Saccharomyces boulardii on acute gastrointestinal toxicities in patients undergoing pelvic radiotherapy for gynecologic cancers: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  17. The impact of uterine position during brachytherapy on treatment outcomes and toxicity in patients with cervical cancer.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
    Article
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305 more citing papers are in PubMed but not listed here.

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

31 authors.

Richard PötterDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna, Austria.
Kari TanderupDepartment of Oncology, Aarhus University Hospital, Denmark.
Christian KirisitsDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna, Austria.
Astrid de LeeuwDepartment of Radiation Oncology, University Medical Centre Utrecht, The Netherlands.
Kathrin KirchheinerDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna, Austria.
Remi NoutDepartment of Radiation Oncology, Leiden University Medical Center, The Netherlands.
Li Tee TanDepartments of Oncology, Radiology and Gynae-oncology, Addenbrooke's Hospital, Cambridge University Hospitals National Health Service Trust, United Kingdom.
Christine Haie-MederRadiation Oncology Department, Gustave Roussy Cancer Campus Grand Paris, France.
Umesh MahantshettyDepartment of Radiation Oncology, Tata Memorial Hospital, Mumbai, India.
Barbara SegedinDepartment of Radiation Oncology, Institute of Oncology, Ljubljana, Slovenia.
Peter HoskinCancer Centre, Mount Vernon Cancer Centre, United Kingdom.
Kjersti BruheimDepartment of Oncology, Oslo University Hospital, Oslo, Norway.
Bhavana RaiDepartment of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Fleur HuangDepartment of Oncology, Cross Cancer Institute, University of Alberta, Edmonton, Alberta, Canada.
Erik Van LimbergenDepartment of Radiation Oncology, University Hospital Gasthuisberg, Leuven, Belgium.
Max SchmidDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna, Austria.
Nicole NesvacilDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna, Austria.
Alina SturdzaDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna, Austria.
Lars FokdalDepartment of Oncology, Aarhus University Hospital, Denmark.
Nina Boje Kibsgaard JensenDepartment of Oncology, Aarhus University Hospital, Denmark.
Dietmar GeorgDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna, Austria.
Marianne AssenholtDepartment of Oncology, Aarhus University Hospital, Denmark.
Yvette SeppenwooldeDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna, Austria.
Christel NomdenDepartment of Radiation Oncology, University Medical Centre Utrecht, The Netherlands.
Israel FortinDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna, Austria.
Supriya ChopraDepartment of Radiation Oncology, Tata Memorial Hospital, Mumbai, India.
Uulke van der HeideDepartment of Radiation Oncology, the Netherlands Cancer Institute, Amsterdam, the Netherlands.
Tamara RumpoldDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Medical Radiation Research for Radiation Oncology, Medical University of Vienna, Austria.
Jacob Christian LindegaardDepartment of Oncology, Aarhus University Hospital, Denmark.
Ina Jürgenliemk-SchulzDepartment of Radiation Oncology, University Medical Centre Utrecht, The Netherlands.
EMBRACE Collaborative Group

Funding

Austrian Science Fund FWF KLI 695
6 · The paper itself

Abstract

The publication of the GEC-ESTRO recommendations one decade ago was a significant step forward for reaching international consensus on adaptive target definition and dose reporting in image guided adaptive brachytherapy (IGABT) in locally advanced cervical cancer. Since then, IGABT has been spreading, particularly in Europe, North America and Asia, and the guidelines have proved their broad acceptance and applicability in clinical practice. However, a unified approach to volume contouring and reporting does not imply a unified administration of treatment, and currently both external beam radiotherapy (EBRT) and IGABT are delivered using a large variety of techniques and prescription/fractionation schedules. With IGABT, local control is excellent in limited and well-responding tumours. The major challenges are currently loco-regional control in advanced tumours, treatment-related morbidity, and distant metastatic disease. Emerging evidence from the RetroEMBRACE and EMBRACE I studies has demonstrated that clinical outcome is related to dose prescription and technique. The next logical step is to demonstrate excellent clinical outcome with the most advanced EBRT and brachytherapy techniques based on an evidence-based prospective dose and volume prescription protocol. The EMBRACE II study is an interventional and observational multicentre study which aims to benchmark a high level of local, nodal and systemic control while limiting morbidity, using state of the art treatment including an advanced target volume selection and contouring protocol for EBRT and brachytherapy, a multi-parametric brachytherapy dose prescription protocol (clinical validation of dose constraints), and use of advanced EBRT (IMRT and IGRT) and brachytherapy (IC/IS) techniques (clinical validation). The study also incorporates translational research including imaging and tissue biomarkers.

Indexed as

Adaptive radiotherapyBrachytherapyCervix cancerLocal controlMorbidityMRI guided radiotherapy

Identifiers

PMID29594251
PMCPMC5862686

What OpenQuestion holds

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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.