Evidence map›Paper›PMID 31167658›Full record

ReviewRadiation oncology (London, England)2019

MR-guidance in clinical reality: current treatment challenges and future perspectives.

S Corradini, F Alongi, N Andratschke, C Belka, L Boldrini, F Cellini, J Debus, M Guckenberger, J Hörner-Rieber, F J Lagerwaard and 7 more

Open access · goldAbstract readReview
In one paragraph

Review in Radiation oncology (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 192 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
192citing papers in PubMed, 2 pooled it
68.2field-weighted citation impact, top 1% 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

192 citing papers in PubMed, 2 syntheses or guidelines pooled it, 362 citations in OpenAlex.

  1. Pooled it
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  3. Stereotactic heart ablative radiotherapy (SHARP): a prospective multicentric phase II trial.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
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132 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 8 institutions in 4 countries.

S CorradiniDepartment of Radiation Oncology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany. Stefanie.Corradini@med.uni-muenchen.de.ORCID http://orcid.org/0000-0001-8709-7252
F AlongiDepartment of Radiation Oncology, IRCSS Sacro Cuore don Calabria Hospital, Negrar-Verona, Italy.
N AndratschkeDepartment of Radiation Oncology, University Hospital Zürich, University of Zurich, Zürich, Switzerland.
C BelkaDepartment of Radiation Oncology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
L BoldriniIstituto di Radiologia, Università Cattolica del Sacro Cuore, Rome, Italy.
F CelliniDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, UOC di Radioterapia Oncologica, Rome, Italy.
J DebusDepartment of Radiation Oncology, Heidelberg University Hospital, Heidelberg, Germany.
M GuckenbergerDepartment of Radiation Oncology, University Hospital Zürich, University of Zurich, Zürich, Switzerland.
J Hörner-RieberDepartment of Radiation Oncology, Heidelberg University Hospital, Heidelberg, Germany.
F J LagerwaardDepartment of Radiation Oncology, VU medical center, Amsterdam, The Netherlands.
R MazzolaDepartment of Radiation Oncology, IRCSS Sacro Cuore don Calabria Hospital, Negrar-Verona, Italy.
M A PalaciosDepartment of Radiation Oncology, VU medical center, Amsterdam, The Netherlands.
M E P PhilippensDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
C P J RaaijmakersDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
C H J TerhaardDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
V ValentiniIstituto di Radiologia, Università Cattolica del Sacro Cuore, Rome, Italy.
M NiyaziDepartment of Radiation Oncology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
LMU Klinikum · DEUniversity Medical Center Utrecht · NLAmsterdam UMC Location Vrije Universiteit Amsterdam · NLGerman Cancer Research Center · DEOspedale Sacro Cuore Don Calabria · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Zurich · CHAgostino Gemelli University Polyclinic · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Magnetic Resonance-guided radiotherapy (MRgRT) marks the beginning of a new era. MR is a versatile and suitable imaging modality for radiotherapy, as it enables direct visualization of the tumor and the surrounding organs at risk. Moreover, MRgRT provides real-time imaging to characterize and eventually track anatomical motion. Nevertheless, the successful translation of new technologies into clinical practice remains challenging. To date, the initial availability of next-generation hybrid MR-linac (MRL) systems is still limited and therefore, the focus of the present preview was on the initial applicability in current clinical practice and on future perspectives of this new technology for different treatment sites.MRgRT can be considered a groundbreaking new technology that is capable of creating new perspectives towards an individualized, patient-oriented planning and treatment approach, especially due to the ability to use daily online adaptation strategies. Furthermore, MRL systems overcome the limitations of conventional image-guided radiotherapy, especially in soft tissue, where target and organs at risk need accurate definition. Nevertheless, some concerns remain regarding the additional time needed to re-optimize dose distributions online, the reliability of the gating and tracking procedures and the interpretation of functional MR imaging markers and their potential changes during the course of treatment. Due to its continuous technological improvement and rapid clinical large-scale application in several anatomical settings, further studies may confirm the potential disruptive role of MRgRT in the evolving oncological environment.

Indexed as

Magnetic Resonance ImagingRadiotherapy, Image-GuidedHumansNeoplasmsOrgans at RiskPrecision MedicineRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedReproducibility of ResultsMR-guided radiotherapy, Image-guided, radiotherapy, MR-IGRT, MR-Linac, adaptive radiotherapy, Inter-fraction variability, Intra-fraction fraction variability, MRI, outcome

Identifiers

PMID31167658
PMCPMC6551911
OpenAlexW2948831484

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.