Evidence map›Paper›PMID 30340604›Full record

ArticleRadiation oncology (London, England)2018

Auto- versus human-driven plan in mediastinal Hodgkin lymphoma radiation treatment.

Stefania Clemente, Caterina Oliviero, Giuseppe Palma, Vittoria D'Avino, Raffaele Liuzzi, Manuel Conson, Roberto Pacelli, Laura Cella

Open access · goldAbstract readComparative Study
In one paragraph

Article in Radiation oncology (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Radiotherapy for tumors of the mediastinum - state of the art.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2023
    Review
  3. Automated treatment planning for liver cancer stereotactic body radiotherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Article
  4. Article
  5. Review
  6. Article
  7. 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

8 authors at 2 institutions in 1 country.

Stefania ClementeAzienda Ospedaliera Universitaria Federico II, Naples, Italy.
Caterina OlivieroAzienda Ospedaliera Universitaria Federico II, Naples, Italy.
Giuseppe PalmaNational Research Council, Institute of Biostructures and Bioimaging, Naples, Italy.
Vittoria D'AvinoNational Research Council, Institute of Biostructures and Bioimaging, Naples, Italy.
Raffaele LiuzziNational Research Council, Institute of Biostructures and Bioimaging, Naples, Italy.
Manuel ConsonDepartment of Advanced Biomedical Sciences, Federico II University School of Medicine, Naples, Italy.
Roberto PacelliDepartment of Advanced Biomedical Sciences, Federico II University School of Medicine, Naples, Italy.
Laura CellaNational Research Council, Institute of Biostructures and Bioimaging, Naples, Italy. laura.cella@cnr.it.ORCID http://orcid.org/0000-0003-0058-4029
Federico II University Hospital · ITInstitute of Biostructure and Bioimaging · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTechnological advances in Hodgkin lymphoma (HL) radiation therapy (RT) by high conformal treatments potentially increase control over organs-at-risk (OARs) dose distribution. However, plan optimization remains a time-consuming task with great operator dependent variability. Purpose of the present study was to devise a fully automated pipeline based on the Pinnacle

methodsCT-scans of 10 female patients with SHL were considered. A "butterfly" (BF) volumetric modulated arc therapy was optimized using SmartArc module integrated in Pinnacle

resultsA single AP objective list for SHL was obtained. Compared to the manual plan, both AP-plans offer comparable CIs while AP-ARC also achieved comparable HIs. All plans fulfilled the clinical dose criteria set for OARs: both AP solutions performed at least as good as Manual-BF plan. In particular, AP-ARC outperformed AP-BF in terms of heart sparing involving a lower risk of coronary events and radiation-induced lung fibrosis. Hands-on planning time decreased by a factor of 10 using AP on average.

conclusionsDespite the high interpatient PTV (size and position) variability, it was possible to set a standard SHL AP optimization list with a high level of generalizability. Using the implemented list, the AP module was able to limit OAR doses, producing clinically acceptable plans with stable quality without additional user input. Overall, the AP engine associated to the arc technique represents the best option for SHL.

Indexed as

AutomationFemaleHodgkin DiseaseHumansMediastinal NeoplasmsOrgans at RiskPrognosisRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedAutomated planning optimizationHodgkin lymphomaNormal tissue sparingNTCPVolumetric modulated arc therapy

Identifiers

PMID30340604
PMCPMC6194601
OpenAlexW2896634385

What OpenQuestion holds

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LicenceCC BY
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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.