Evidence map›Paper›PMID 30943055›Full record

ArticleThe British journal of radiology2020

Early results and volumetric analysis after spot-scanning proton therapy with concomitant hyperthermia in large inoperable sacral chordomas.

Sebastien Tran, Emsad Puric, Marc Walser, Robert Poel, Niloy Ranjan Datta, Juerg Heuberger, Alessia Pica, Dietmar Marder, Nicoletta Lomax, Alessandra Bolsi and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Characterization and initial demonstration ofInternational journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2022
    Article
  4. Proton therapy special feature: introductory editorial.The British journal of radiology · 2020
    Article
  5. 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

16 authors at 5 institutions in 3 countries.

Sebastien TranCenter for Proton Therapy, Paul Scherrer Institute, ETH Domain, Villigen PSI, Switzerland.
Emsad PuricCantonal Hospital Aarau, Radiation Oncology KSA-KSB, Aarau, Switzerland.
Marc WalserCenter for Proton Therapy, Paul Scherrer Institute, ETH Domain, Villigen PSI, Switzerland.
Robert PoelCenter for Proton Therapy, Paul Scherrer Institute, ETH Domain, Villigen PSI, Switzerland.
Niloy Ranjan DattaCantonal Hospital Aarau, Radiation Oncology KSA-KSB, Aarau, Switzerland.
Juerg HeubergerCantonal Hospital Aarau, Radiation Oncology KSA-KSB, Aarau, Switzerland.
Alessia PicaCenter for Proton Therapy, Paul Scherrer Institute, ETH Domain, Villigen PSI, Switzerland.
Dietmar MarderCantonal Hospital Aarau, Radiation Oncology KSA-KSB, Aarau, Switzerland.
Nicoletta LomaxCantonal Hospital Aarau, Radiation Oncology KSA-KSB, Aarau, Switzerland.
Alessandra BolsiCenter for Proton Therapy, Paul Scherrer Institute, ETH Domain, Villigen PSI, Switzerland.
Petra MorachCenter for Proton Therapy, Paul Scherrer Institute, ETH Domain, Villigen PSI, Switzerland.
Barbara BachtiaryCenter for Proton Therapy, Paul Scherrer Institute, ETH Domain, Villigen PSI, Switzerland.
Beatrice M SeddonUniversity College London Hospitals NHS Foundation Trust, London Sarcoma Service, London, United Kingdom.
Ralf SchneiderHelios Medical Center Schwerin, Radiation Oncology, Schwerin, Germany.
Stephan BodisCantonal Hospital Aarau, Radiation Oncology KSA-KSB, Aarau, Switzerland.
Damien C WeberCenter for Proton Therapy, Paul Scherrer Institute, ETH Domain, Villigen PSI, Switzerland.
Paul Scherrer Institute · CHKantonsspital Aarau · CHHelios Hospital Schwerin · DEUniversity College London Hospitals NHS Foundation Trust · GBUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLarge inoperable sacral chordomas show unsatisfactory local control rates even when treated with high dose proton therapy (PT). The aim of this study is assessing feasibility and reporting early results of patients treated with PT and concomitant hyperthermia (HT).

methods: Patients had histologically proven unresectable sacral chordomas and received 70 Gy (relative biological effectiveness) in 2.5 Gy fractions with concomitant weekly HT. Toxicity was assessed according to CTCAE_v4. A volumetric tumor response analysis was performed.

results: Five patients were treated with the combined approach. Median baseline tumor volume was 735 cc (range, 369-1142). All patients completed PT and received a median of 5 HT sessions (range, 2-6). Median follow-up was 18 months (range, 9-26). The volumetric analysis showed an objective response of all tumors (median shrinkage 46%; range, 9-72). All patients experienced acute Grade 2-3 local pain. One patient presented with a late Grade 3 iliac fracture.

conclusionCombining PT and HT in large inoperable sacral chordomas is feasible and causes acceptable toxicity. Volumetric analysis shows promising early results, warranting confirmation in the framework of a prospective trial. ADVANCES IN KNOWLEDGE:: This is an encouraging first report of the feasibility and early results of concomitant HT and PT in treating inoperable sacral chordoma.

Indexed as

SacrumAgedChordomaCombined Modality TherapyFeasibility StudiesFollow-Up StudiesHumansHyperthermia, InducedMaleMiddle AgedProton TherapyRadiotherapy DosageRelative Biological EffectivenessRetrospective StudiesSpinal NeoplasmsTime Factors

Identifiers

PMID30943055
PMCPMC7066944
OpenAlexW2930834746

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.