Evidence map›Paper›PMID 29802435›Full record

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

Treatment planning for spinal radiosurgery : A competitive multiplatform benchmark challenge.

Christos Moustakis, Mark K H Chan, Jinkoo Kim, Joakim Nilsson, Alanah Bergman, Tewfik J Bichay, Isabel Palazon Cano, Savino Cilla, Francesco Deodato, Raffaela Doro and 29 more

Abstract readComparative StudyMulticenter Study
PubMed Publisher
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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
8.1field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Head and neck radiotherapy on the MR linac: a multicenter planning challenge amongst MRIdian platform users.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2021
    Article
  5. Tumor-dose-rate variations during robotic radiosurgery of oligo and multiple brain metastases.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2021
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Stereotactic body radiotherapy for ventricular tachycardia (cardiac radiosurgery) : First-in-patient treatment in Germany.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
    Article
  12. Automatic image segmentation based on synthetic tissue model for delineating organs at risk in spinal metastasis treatment planning.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2019
    Article
  13. Article
  14. Results of a multicenter intensity modulated radiation therapy treatment planning comparison study for a sample prostate cancer case.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2019
    Article
  15. SBRT planning for spinal metastasis: indications from a large multicentric study.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2019
    Article
  16. A dosimetric analysis of a spine SBRT specific treatment planning system.Journal of applied clinical medical physics · 2019
    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

39 authors at 19 institutions in 9 countries.

Christos MoustakisDepartment of Radiation Oncology, University Hospital Münster, Albert-Schweitzer-Campus 1, Gebäude A1, 48149, Münster, Germany. christos.moustakis@ukmuenster.de.ORCID http://orcid.org/0000-0002-8879-2350
Mark K H ChanDepartment of Radiation Oncology, University Clinic Schleswig-Holstein, Kiel, Germany.
Jinkoo KimDepartment of Radiation Oncology, Stony Brook University Hospital, Stony Brook, NY, USA.
Joakim NilssonDepartment of Oncology and Radiation Physics, Skåne University Hospital, Lund, Sweden.
Alanah BergmanVancouver Cancer Centre, Department of Medical Physics, BC Cancer Agency, Vancouver, BC, Canada.
Tewfik J BichayLacks Cancer Center, Department of Radiation Oncology, Mercy Health Saint Mary's, Grand Rapids, MI, USA.
Isabel Palazon CanoDepartment of Medical Physics, Hospital Ruber Internacional, Madrid, Spain.
Savino CillaFondazione di Ricerca e Cura "Giovanni Paolo II", Medical Physics Unit, Catholic University of Sacred Heart, Campobasso, Italy.
Francesco DeodatoFondazione di Ricerca e Cura "Giovanni Paolo II", Radiation Oncology Unit, Catholic University of Sacred Heart, Campobasso, Italy.
Raffaela DoroDepartment of Medical Physics and Radiation Oncology, IFCA, Firenze, Italy.
Jürgen DunstDepartment of Radiation Oncology, University Clinic Schleswig-Holstein, Kiel, Germany.
Hans Theodor EichDepartment of Radiation Oncology, University Hospital Münster, Albert-Schweitzer-Campus 1, Gebäude A1, 48149, Münster, Germany.
Pierre FauUniversity of Aix Marseille, Marseille, France.
Ming FongVancouver Cancer Centre, Department of Radiation Therapy, BC Cancer Agency, Vancouver, BC, Canada.
Uwe HaverkampDepartment of Radiation Oncology, University Hospital Münster, Albert-Schweitzer-Campus 1, Gebäude A1, 48149, Münster, Germany.
Simon HeinzeDepartment of Radiation Oncology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Guido HildebrandtDepartment of Radiation Oncology, University Medicine Rostock, Rostock, Germany.
Detlef ImhoffDepartment of Radiation Oncology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Erik de KlerckDepartment of Radiation Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Janett KöhnDepartment of Radiation Oncology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Ulrike LambrechtDepartment of Radiation Oncology, University Clinic Erlangen, Erlangen, Germany.
Britta Loutfi-KraussDepartment of Radiation Oncology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Fatemeh EbrahimiDepartment of Radiation Oncology, University Hospital Münster, Albert-Schweitzer-Campus 1, Gebäude A1, 48149, Münster, Germany.
Laura MasiDepartment of Medical Physics and Radiation Oncology, IFCA, Firenze, Italy.
Alan H MayvilleLacks Cancer Center, Department of Radiation Oncology, Mercy Health Saint Mary's, Grand Rapids, MI, USA.
Ante MestrovicVancouver Cancer Centre, Department of Medical Physics, BC Cancer Agency, Vancouver, BC, Canada.
Maaike MilderDepartment of Radiation Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Alessio G MorgantiRadiation Oncology Department, DIMES University of Bologna-S. Orsola Malpighi Hospital, Bologna, Italy.
Dirk RadesDepartment of Radiation Oncology, University Clinic Schleswig-Holstein, Lübeck, Germany.
Ulla RammDepartment of Radiation Oncology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Claus RödelDepartment of Radiation Oncology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Frank-Andre SiebertDepartment of Radiation Oncology, University Clinic Schleswig-Holstein, Kiel, Germany.
Wilhelm den ToomDepartment of Radiation Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Lei WangDepartment of Radiation Oncology, Stanford University, Stanford, CA, USA.
Stefan WursterSaphir Radiosurgery Center, Northern Germany and Frankfurt, Güstrow, Germany.
Achim SchweikardInstitute for Robotic and Cognitive Systems, University of Lübeck, Lübeck, Germany.
Scott G SoltysDepartment of Radiation Oncology, Stanford University, Stanford, CA, USA.
Samuel RyuDepartment of Radiation Oncology, Stony Brook University Hospital, Stony Brook, NY, USA.
Oliver BlanckDepartment of Radiation Oncology, University Clinic Schleswig-Holstein, Kiel, Germany.
Goethe University Frankfurt · DEUniversity Hospital Schleswig-Holstein · DEUniversity Hospital Münster · DEBC Cancer Agency · CAErasmus MC Cancer Institute · NLStanford University · USStony Brook University Hospital · USUniversità Cattolica del Sacro Cuore · ITAix-Marseille Université · FRHospital Ruber Internacional · ESIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITKantonsspital St. Gallen · CHSkåne University Hospital · SETrinity Health Grand Rapids · USUniversitätsklinikum Erlangen · DEUniversitätsmedizin Greifswald · DEUniversity of Lübeck · DEUniversity of Rostock · DEWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the quality of treatment plans of spinal radiosurgery derived from different planning and delivery systems. The comparisons include robotic delivery and intensity modulated arc therapy (IMAT) approaches. Multiple centers with equal systems were used to reduce a bias based on individual's planning abilities. The study used a series of three complex spine lesions to maximize the difference in plan quality among the various approaches.

methodsInternationally recognized experts in the field of treatment planning and spinal radiosurgery from 12 centers with various treatment planning systems participated. For a complex spinal lesion, the results were compared against a previously published benchmark plan derived for CyberKnife radiosurgery (CKRS) using circular cones only. For two additional cases, one with multiple small lesions infiltrating three vertebrae and a single vertebra lesion treated with integrated boost, the results were compared against a benchmark plan generated using a best practice guideline for CKRS. All plans were rated based on a previously established ranking system.

resultsAll 12 centers could reach equality (n = 4) or outperform (n = 8) the benchmark plan. For the multiple lesions and the single vertebra lesion plan only 5 and 3 of the 12 centers, respectively, reached equality or outperformed the best practice benchmark plan. However, the absolute differences in target and critical structure dosimetry were small and strongly planner-dependent rather than system-dependent. Overall, gantry-based IMAT with simple planning techniques (two coplanar arcs) produced faster treatments and significantly outperformed static gantry intensity modulated radiation therapy (IMRT) and multileaf collimator (MLC) or non-MLC CKRS treatment plan quality regardless of the system (mean rank out of 4 was 1.2 vs. 3.1, p = 0.002).

conclusionsHigh plan quality for complex spinal radiosurgery was achieved among all systems and all participating centers in this planning challenge. This study concludes that simple IMAT techniques can generate significantly better plan quality compared to previous established CKRS benchmarks.

Indexed as

BenchmarkingSpinal NeoplasmsThoracic VertebraeAgedAlgorithmsDose Fractionation, RadiationHumansNeoplasm Recurrence, LocalOrgans at RiskRadiosurgeryRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedRe-IrradiationRobotic Surgical ProceduresBenchmark studyMulticenterMultiplatformSpinal radiosurgeryStereotactic body radiation therapyTreatment planning challenge

Identifiers

PMID29802435
OpenAlexW3043893392

What OpenQuestion holds

Textmetadata
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.