Evidence map›Paper›PMID 31146070›Full record

ArticleRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology2019

Toward personalized dose-prescription in locally advanced non-small cell lung cancer: Validation of published normal tissue complication probability models.

M Thor, Jo Deasy, A Iyer, E Bendau, A Fontanella, A Apte, E Yorke, A Rimner, A Jackson

Open access · greenAbstract read
In one paragraph

Article in Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed, 31 citations in OpenAlex.

  1. Perspectives on the model-based approach to proton therapy trials: A retrospective study of a lung cancer randomized trial.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2020
    Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. [Prognosis-guided optimization of intensity-modulated radiation therapy plans for lung cancer].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2025
    Article
  7. AnJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Radiation-induced lung injury - what do we know in the era of modern radiotherapy?Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Review
  12. Article
  13. Article
  14. Review
  15. Early Prediction of Acute Esophagitis for Adaptive Radiation Therapy.International journal of radiation oncology, biology, physics · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

9 authors at 1 institution in 1 country.

M ThorDept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States. Electronic address: thorm@mskcc.org.
Jo DeasyDept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
A IyerDept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
E BendauDept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
A FontanellaDept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
A ApteDept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
E YorkeDept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
A RimnerDept. of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, United States.
A JacksonDept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Dose-distribution radiomics to predict morbidity risk in radiotherapyR01CA198121 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI DEASY, JOSEPH O · 2016 to 2019
$2.3M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA198121
6 · The paper itself

Abstract

purposeTo identify published normal tissue complication probability (NTCP) models suitable for patient-specific dose-prescription in locally advanced non-small cell lung cancer (LA-NSCLC) through in-house validation. MATERIAL AND

methodsFrom eight previously published candidate NTCP models (≥grade 2 acute esophagitis and radiation pneumonitis; AE2, RP2), patient-specific dose-responses were calculated using model variables and fractionation-corrected doses for 241 LA-NSCLC patients treated with chemo-IMRT to 50-80 Gy@1.8-2.0 Gy between 2004 and 2014 (AE2/RP2 rate: 50%/12%). A model was judged final if it significantly predicted AE2 or RP2 (p ≤ 0.05), was discriminative and well calibrated (AUC > 0.60; Hosmer-Lemeshow test p

resultsModels for AE2 had superior discrimination to RP2 models (AUC = 0.63-0.65 vs. 0.51-0.65). The final AE2 model included mean esophageal dose and concurrent chemotherapy (AUC = 0.65; p < 0.0001). The final RP2 model was a slightly adjusted version of the RP2 model with the best discrimination, and included age, mean lung dose, and pulmonary comorbidity (AUC = 0.73; p < 0.0001).

conclusionOf the eight investigated and published NTCP models, one model successfully described AE2 and one slightly adjusted model successfully described RP2 in the independent cohort. Estimates from these two NTCP models will, therefore, be considered internally when prescribing patient-specific doses in LA-NSCLC patients.

Indexed as

AgedCarcinoma, Non-Small-Cell LungEsophagitisFemaleHumansLung NeoplasmsMaleMiddle AgedProbabilityRadiation InjuriesRadiation PneumonitisRadiotherapy DosageDose responseEsophagitisLung cancerPneumonitisRadiotherapyToxicity

Identifiers

PMID31146070
PMCPMC6710111
OpenAlexW2947421847

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.