Evidence map›Paper›PMID 31696729›Full record

ArticleThe British journal of radiology2020

Is an analytical dose engine sufficient for intensity modulated proton therapy in lung cancer?

Suliana Teoh, Francesca Fiorini, Ben George, Katherine A Vallis, Frank Van den Heuvel

Open access · greenAbstract readComparative Study
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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Improving Proton Dose Calculation Accuracy by Using Deep Learning.Machine learning: science and technology · 2021
    Article
  6. Article
  7. Proton therapy special feature: introductory editorial.The British journal of radiology · 2020
    Article
  8. 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

5 authors at 1 institution in 1 country.

Suliana TeohCRUK and MRC Oxford Institute for Radiation Oncology, Old Road Campus Research Building, Off Roosevelt Drive, University of Oxford, Oxford, OX3 7DQ, UK.ORCID http://orcid.org/0000-0002-5456-9273
Francesca FioriniCRUK and MRC Oxford Institute for Radiation Oncology, Old Road Campus Research Building, Off Roosevelt Drive, University of Oxford, Oxford, OX3 7DQ, UK.
Ben GeorgeCRUK and MRC Oxford Institute for Radiation Oncology, Old Road Campus Research Building, Off Roosevelt Drive, University of Oxford, Oxford, OX3 7DQ, UK.
Katherine A VallisCRUK and MRC Oxford Institute for Radiation Oncology, Old Road Campus Research Building, Off Roosevelt Drive, University of Oxford, Oxford, OX3 7DQ, UK.
Frank Van den HeuvelCRUK and MRC Oxford Institute for Radiation Oncology, Old Road Campus Research Building, Off Roosevelt Drive, University of Oxford, Oxford, OX3 7DQ, UK.
University of Oxford · GB

Funding

Cancer Research UK 21993Cancer Research UK 22906Cancer Research UK 28736
6 · The paper itself

Abstract

objectiveTo identify a subgroup of lung cancer plans where the analytical dose calculation (ADC) algorithm may be clinically acceptable compared to Monte Carlo (MC) dose calculation in intensity modulated proton therapy (IMPT).

methodsRobust-optimised IMPT plans were generated for 20 patients to a dose of 70 Gy (relative biological effectiveness) in 35 fractions in Raystation. For each case, four plans were generated: three with ADC optimisation using the pencil beam (PB) algorithm followed by a final dose calculation with the following algorithms: PB (PB-PB), MC (PB-MC) and MC normalised to prescription dose (PB-MC scaled). A fourth plan was generated where MC optimisation and final dose calculation was performed (MC-MC). Dose comparison and γ analysis (PB-PB

resultsOverestimation of the dose to 99% and mean dose of the clinical target volume was observed in all PB-MC compared to PB-PB plans (median: 3.7 Gy(RBE) (5%) (range: 2.3 to 6.9 Gy(RBE)) and 1.8 Gy(RBE) (3%) (0.5 to 4.6 Gy(RBE))). PB-MC scaled plans resulted in significantly higher CTVD2 compared to PB-PB (median difference: -4 Gy(RBE) (-6%) (-5.3 to -2.4 Gy(RBE)),

conclusionIn the presence of mediastinal involvement and absence of range shifters Raystation ADC may be clinically acceptable in lung IMPT. Otherwise, MC algorithm would be recommended to ensure accuracy of treatment plans. ADVANCES IN KNOWLEDGE: Although MC algorithm is more accurate compared to ADC in lung IMPT, ADC may be clinically acceptable where there is mediastinal involvement and absence of range shifters.

Indexed as

AlgorithmsMonte Carlo MethodAnalysis of VarianceCarcinoma, Non-Small-Cell LungDose Fractionation, RadiationFour-Dimensional Computed TomographyHumansLung NeoplasmsMediastinal NeoplasmsMultivariate AnalysisOrgans at RiskProton TherapyRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedRelative Biological EffectivenessUncertainty

Identifiers

PMID31696729
PMCPMC7066954
OpenAlexW2986803156

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.