Evidence map›Paper›PMID 29696321›Full record

ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2018

Linac-based stereotactic body radiation therapy for unresectable locally advanced pancreatic cancer: risk-adapted dose prescription and image-guided delivery.

Rosario Mazzola, Sergio Fersino, Dario Aiello, Fabiana Gregucci, Umberto Tebano, Stefanie Corradini, Gioacchino Di Paola, Massimo Cirillo, Luca Tondulli, Giacomo Ruffo and 2 more

Abstract read
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In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–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.

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

24 citing papers in PubMed.

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  15. FAK inhibition radiosensitizes pancreatic ductal adenocarcinoma cells in vitro.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2021
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  16. Review
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  20. Volume de-escalation in radiation therapy: state of the art and new perspectives.Journal of cancer research and clinical oncology · 2020
    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

12 authors.

Rosario MazzolaRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy. rosariomazzola@hotmail.it.ORCID http://orcid.org/0000-0002-2838-7337
Sergio FersinoRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
Dario AielloRadiation Oncology School, University of Palermo, Palermo, Italy.
Fabiana GregucciRadiation Oncology School, University of Padua, Padua, Italy.
Umberto TebanoRadiation Oncology School, University of Padua, Padua, Italy.
Stefanie CorradiniRadiation Oncology, LMU Munich, Munich, Germany.
Gioacchino Di PaolaUniversity of Palermo, Palermo, Italy.
Massimo CirilloMedical Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
Luca TondulliMedical Oncology, Azienda Ospedaliera Universitaria Integrata (AOUI), Verona, Italy.
Giacomo RuffoSurgical Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
Ruggero RuggieriRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.
Filippo AlongiRadiation Oncology, Sacro Cuore Don Calabria Hospital, Negrar-Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStereotactic body radiation therapy (SBRT) represents a new treatment option for locally advanced pancreatic cancer (LAPC). An accurate treatment planning with risk-adapted dose prescription with adherence to specific dose constraints for organs at risk (OARs) and the use of daily cone beam CT (CBCT) for image guidance could allow an effective and safe treatment delivery. Here, feasibility and efficacy of SBRT in LAPC treated in our cancer care center are reported. PATIENTS AND

methods33 unresectable LAPC patients underwent SBRT. In order to respect OAR dose constraints, a risk-adapted dose prescription strategy was adopted, choosing between the following schedules: 42 Gy or 45 Gy in 6 daily fractions with a biologically effective dose (BED) > 70 Gy

resultsAt the time of analysis, the median follow-up was 18 months (range 5-34 months). Prior to SBRT, 24 out of 33 patients received induction chemotherapy. Although all patients were previously judged as unresectable, 6 out of 33 (18%) underwent surgery after SBRT; all of them received a BED > 70 Gy

conclusionIn our experience, risk-adapted dose prescription and image-guided SBRT represents an effective treatment option for LAPC patients.

Indexed as

AdultAgedAged, 80 and overCone-Beam Computed TomographyDisease ProgressionDose Fractionation, RadiationFeasibility StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasm StagingPancreatic NeoplasmsRadiosurgeryRadiotherapy DosageIGRTIMRTLocal progressionPancreatic cancerRadiation therapySBRTToxicity

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Registered trials

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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.