Evidence map›Paper›PMID 30102194›Full record

Trial reportInternational journal of radiation oncology, biology, physics2018

High Single Doses of Radiation May Induce Elevated Levels of Hypoxia in Early-Stage Non-Small Cell Lung Cancer Tumors.

Olivia J Kelada, Roy H Decker, Sameer K Nath, Kimberly L Johung, Ming-Qiang Zheng, Yiyun Huang, Jean-Dominique Gallezot, Chi Liu, Richard E Carson, Uwe Oelfke and 1 more

Abstract readClinical Trial
In one paragraph

Trial report in International journal of radiation oncology, biology, physics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 43 citations in OpenAlex.

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  11. Oxygen-Sensitive MRI: A Predictive Imaging Biomarker for Tumor Radiation Response?International journal of radiation oncology, biology, physics · 2021
    Article
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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 2 countries.

Olivia J KeladaDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut; Department of Medical Physics in Radiation Oncology, German Cancer Research Center, Heidelberg, Germany.
Roy H DeckerDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut.
Sameer K NathDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut.
Kimberly L JohungDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut.
Ming-Qiang ZhengDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut.
Yiyun HuangDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut.
Jean-Dominique GallezotDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut.
Chi LiuDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut.
Richard E CarsonDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut.
Uwe OelfkeDepartment of Medical Physics in Radiation Oncology, German Cancer Research Center, Heidelberg, Germany.
David J CarlsonDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut. Electronic address: david.j.carlson@yale.edu.
Yale University · USGerman Cancer Research Center · DE

Funding

Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI MEGAN C KING · 1985 to 2026
$85.0M
Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
State-of-the-Art PET/CT InstrumentationS10RR029245 · NCRR · YALE UNIVERSITY · PI CARSON, RICHARD E. · 2010 to 2010
$2.3M
Cancer Research UK 19727NCATS NIH HHS UL1 TR000142NCI NIH HHS P30 CA016359NCRR NIH HHS S10 RR029245
6 · The paper itself

Abstract

purposeTumor hypoxia correlates with treatment failure in patients undergoing conventional radiation therapy. However, no published studies have investigated tumor hypoxia in patients undergoing stereotactic body radiation therapy (SBRT). We aimed to noninvasively quantify the tumor hypoxic volume (HV) in non-small cell lung cancer (NSCLC) tumors to elucidate the potential role of tumor vascular response and reoxygenation at high single doses. METHODS AND MATERIALS: Six SBRT-eligible patients with NSCLC tumors >1 cm were prospectively enrolled in an institutional review board-approved study. Dynamic positron emission tomography images were acquired at 0 to 120 minutes, 150 to 180 minutes, and 210 to 240 minutes after injection of

resultsAn elevated and in some cases persistent level of tumor hypoxia was observed in 3 of 6 patients. Two patients exhibited no detectable baseline tumor hypoxia, and 1 patient with high baseline hypoxia only completed 1 imaging session. On the basis of the tumor-to-blood ratio, in the remaining 3 patients, tumor HVs increased on day 2 after 18 Gy and then showed variable responses on day 4. In the 3 of 6 patients with detectable hypoxia at baseline, baseline tumor HVs ranged between 17% and 24% (mean, 21%), and HVs on days 2 and 4 ranged between 33% and 45% (mean, 40%) and between 18% and 42% (mean, 28%), respectively.

conclusionsHigh single doses of radiation delivered as part of SBRT may induce an elevated and in some cases persistent state of tumor hypoxia in NSCLC tumors. Hypoxia imaging with

Indexed as

AgedCarcinoma, Non-Small-Cell LungCohort StudiesDose-Response Relationship, RadiationFemaleHumansLung NeoplasmsMaleNeoplasm StagingPositron-Emission TomographyRadiosurgeryTumor Hypoxia

Identifiers

PMID30102194
PMCPMC6092043
OpenAlexW2806949173

What OpenQuestion holds

Textmetadata
LicenceTDM
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.