Evidence map›Paper›PMID 31681862›Full record

ArticleAdvances in radiation oncology

The Special Medical Physics Consult Process for Reirradiation Patients.

Kelly C Paradis, Charles Mayo, Dawn Owen, Daniel E Spratt, Jason Hearn, Benjamin Rosen, Rojano Kashani, Jean Moran, Daniel S Tatro, Whitney Beeler and 3 more

Abstract read
In one paragraph

Article in Advances in radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Modeling Time-Dependent Recovery to Improve Esophagitis Prediction in Thoracic Reirradiation.International journal of radiation oncology, biology, physics · 2026
    Article
  5. Article
  6. A dedicated institutional clinical workflow and peer-review meeting for reirradiation.Technical innovations & patient support in radiation oncology · 2026
    Article
  7. Review
  8. A reirradiation workflow for managing patients with treatments planned in a multi-TPS environment.Technical innovations & patient support in radiation oncology · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Reirradiation for locally recurrent soft tissue sarcomas: A systematic review.Clinical and translational radiation oncology · 2026
    Review
  13. Article
  14. Multi-institutional virtual peer review for reirradiation: dedicated workflow and one-year results.Technical innovations & patient support in radiation oncology · 2025
    Article
  15. Article
  16. Efficacy and safety of twice-daily accelerated hyperfractionated re-irradiation for thoracic malignancies.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. 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

13 authors.

Kelly C ParadisUniversity of Michigan, Ann Arbor, Michigan.
Charles MayoUniversity of Michigan, Ann Arbor, Michigan.
Dawn OwenUniversity of Michigan, Ann Arbor, Michigan.
Daniel E SprattUniversity of Michigan, Ann Arbor, Michigan.
Jason HearnUniversity of Michigan, Ann Arbor, Michigan.
Benjamin RosenUniversity of Michigan, Ann Arbor, Michigan.
Rojano KashaniUniversity of Michigan, Ann Arbor, Michigan.
Jean MoranUniversity of Michigan, Ann Arbor, Michigan.
Daniel S TatroUniversity of Michigan, Ann Arbor, Michigan.
Whitney BeelerUniversity of Michigan, Ann Arbor, Michigan.
Karen VinebergUniversity of Michigan, Ann Arbor, Michigan.
Dylan C SmithUniversity of Michigan, Ann Arbor, Michigan.
Martha M MatuszakUniversity of Michigan, Ann Arbor, Michigan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo present a systematic approach to the reirradiation special medical physics consult (ReRT-SMPC) process. MATERIALS AND

methodsAn in-house reirradiation committee of physicians and physicists was formed to develop a streamlined and well-documented approach to ReRT-SMPCs. Dosimetric goals and considerations for tissue repair were generated by the committee with input from the literature, clinical trial guidelines, and physician experience. Procedural workflow was also defined.

resultsThe total number of ReRT-SMPCs performed in our department in 2018 was 401, corresponding to 369 unique patients and 16% of the total number of patients receiving external beam radiation in our department that year. This constituted a large increase over the 183 ReRT-SMPCs performed in 2017. We have found that a standardized ReRT-SMPC workflow helps to safeguard patients, documents the clinical decision-making process for medical and legal purposes, and facilitates the peer-review process. The data being collected from each consult along with toxicity and outcomes data can be used to help inform future re-treatment guidelines.

conclusionsAs the number of patients returning for additional courses of radiation continues to increase, a uniform method for the ReRT-SMPC workflow and analysis is a powerful tool for ensuring patient safety, understanding and predicting treatment toxicity, and refining reirradiation dosimetric limits.

Identifiers

PMID31681862
PMCPMC6817723

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.