Evidence map›Paper›PMID 30947267›Full record

Trial reportPloS one2019

A comparison of dose distributions in gross tumor volume between boron neutron capture therapy alone and combined boron neutron capture therapy plus intensity modulation radiation therapy for head and neck cancer.

Jia-Cheng Lee, Keh-Shih Chuang, Yen-Wan Hsueh Liu, Tzung-Yi Lin, Yi-Chiao Teng, Ling-Wei Wang

Open access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  13. Review
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  16. Boron Chemistry for Medical Applications.Molecules (Basel, Switzerland) · 2020
    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

6 authors at 2 institutions in 1 country.

Jia-Cheng LeeDepartment Oncology, Taipei Veterans General Hospital, Taipei, Taiwan.
Keh-Shih ChuangDepartment of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu, Taiwan.
Yen-Wan Hsueh LiuInstitute of Nuclear Engineering and Science, National Tsing Hua University, Hsinchu, Taiwan.
Tzung-Yi LinInstitute of Nuclear Engineering and Science, National Tsing Hua University, Hsinchu, Taiwan.
Yi-Chiao TengInstitute of Nuclear Engineering and Science, National Tsing Hua University, Hsinchu, Taiwan.
Ling-Wei WangDepartment Oncology, Taipei Veterans General Hospital, Taipei, Taiwan.ORCID 0000-0001-7830-8580
National Tsing Hua University · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nine patients with recurrent head and neck (H&N) cancer received boron neutron capture therapy (BNCT) in one fraction at the Tsing-Hua Open pool reactor (THOR) utilizing the THORplan treatment planning system (TPS). The aims of the present study were to evaluate the use of intensity modulated radiation therapy (IMRT) of 45 Gy in 20 fractions to compensate for the dose heterogeneity in gross tumor volume observed with single-fraction BNCT with mean prescription dose 19 Gy (w), and to evaluate planning quality indices of simulated BNCT+IMRT versus single-fraction BNCT alone. All IMRT plans were generated using the Eclipse TPS which employs the analytical anisotropic algorithm. The conformity index for the gross tumor volume (GTV) was better for the BNCT+IMRT plan than for the BNCT-alone plan (p = 0.003). In addition, the BNCT+IMRT plan provided significantly better homogeneity in the GTV (p = 0.03). The cold spots in inhomogeneous dose distribution in the BNCT plan may be a key factor for H&N cancer recurrence. Our results suggest that single-fraction BNCT combined with compensated multi-fraction IMRT improves treatment homogeneity and conformity than single-fraction BNCT alone, especially for tumor volumes >100 cm3, and possibly increases local tumor control.

Indexed as

Boron Neutron Capture TherapyRadiotherapy, Intensity-ModulatedCombined Modality TherapyDose Fractionation, RadiationFeasibility StudiesHead and Neck NeoplasmsHumansNeoplasm Recurrence, LocalRadiotherapy Planning, Computer-AssistedTomography, X-Ray ComputedTumor Burden

Identifiers

PMID30947267
PMCPMC6448841
OpenAlexW2926901079

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.