Evidence map›Paper›PMID 29697204›Full record

ArticleThoracic cancer2018

Image-based management of empiric lung stereotactic body radiotherapy (SBRT) without biopsy: Predictors from a 10-year single institution experience.

Shaakir Hasan, Athanasios Colonias, Timothy Mickus, Matthew VanDeusen, Rodney E Wegner

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 11 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

5 authors at 1 institution in 1 country.

Shaakir HasanDivision of Radiation Oncology, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.
Athanasios ColoniasDivision of Radiation Oncology, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.
Timothy MickusDivision of Thoracic Surgery, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.
Matthew VanDeusenDivision of Thoracic Surgery, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.
Rodney E WegnerDivision of Radiation Oncology, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.ORCID 0000-0003-2416-3499
Allegheny Health Network · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is emerging reliance on clinical imaging for the diagnosis, prognosis, and treatment evaluation of early stage non-small cell lung cancer (NSCLC) in patients deemed too high risk for biopsy. We report our experience of clinically diagnosed NSCLC treated empirically with stereotactic body radiotherapy (SBRT) to validate the imaging parameters used for management in this high-risk population.

methodsWe reviewed 101 empiric lung SBRT cases and profiled imaging specifics of computed tomography and positron emission tomography for diagnosis and follow-up. Secondarily, we identified potential correlates of disease progression with Cox regression multivariate analysis.

resultsFifty-seven men and 43 women aged 45-94 (median 76) were treated with a median dose of 48 Gy in four fractions. The median nodule diameter was 1.6 cm (0.6-4.5 cm) and most were spiculated (n = 58), right-sided (n = 63), and in the upper lobe (n = 68). Median follow-up and survival rates were 14 and 28 months, respectively. Local control at three years was 94%. Freedom from any progression at one and three years was 85% and 69%, respectively. Toxicity ≥ grade 3 included two grade 3 dyspneas. A pre-treatment standard uptake value > 4.1 was the only significant predictor of disease progression.

conclusionThis study illustrates the instrumental role of modern clinical imaging for the effective management of presumed early stage NSCLC treated with empiric lung SBRT. As lung SBRT without tissue confirmation becomes more common, hopefully these assertions can be prospectively validated.

Indexed as

AgedAged, 80 and overBiopsyCarcinoma, Non-Small-Cell LungFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedPositron-Emission TomographyProportional Hazards ModelsRadiosurgeryRetrospective StudiesSurvival RateTomography, X-Ray ComputedLung biopsylung cancerstereotactic body radiotherapy

Identifiers

PMID29697204
PMCPMC5983152
OpenAlexW2799312640

What OpenQuestion holds

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LicenceCC BY-NC
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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.