Evidence map›Paper›PMID 31785339›Full record

ArticleInternational journal of radiation oncology, biology, physics2020

Defining Optimal Target Volumes of Conformal Radiation Therapy for Diffuse Intrinsic Pontine Glioma.

Christopher L Tinkle, Brittany Simone, Jason Chiang, Xiaoyu Li, Kristen Campbell, Yuanyuan Han, Yimei Li, Laura D Hover, Jason K Molitoris, Jared Becksfort and 5 more

Open access · greenAbstract read
In one paragraph

Article in International journal of radiation oncology, biology, physics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

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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

15 authors at 1 institution in 1 country.

Christopher L TinkleDepartment of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee. Electronic address: christopher.tinkle@stjude.org.
Brittany SimoneDepartment of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Jason ChiangDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Xiaoyu LiDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Kristen CampbellDepartment of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Yuanyuan HanDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee.
Yimei LiDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee.
Laura D HoverDepartment of Developmental Neurobiology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Jason K MolitorisDepartment of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Jared BecksfortDepartment of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
John T LucasDepartment of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Zoltan PatayDepartment of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, Tennessee.
Suzanne J BakerDepartment of Developmental Neurobiology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Alberto BroniscerDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Thomas E MerchantDepartment of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
St. Jude Children's Research Hospital · US

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SHELLEY L BERGER · 1985 to 2026
$222.3M
Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
NCI NIH HHS P30 CA016520NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

purposeOptimal radiation therapy (RT) target margins for diffuse intrinsic pontine glioma (DIPG) are unknown. We sought to define disease progression patterns in a contemporary cohort treated with conformal RT using different clinical target volume (CTV) margins. METHODS AND MATERIALS: We reviewed 105 patients with newly diagnosed DIPG treated with conformal conventionally fractionated RT at our institution from 2006 to 2014. CTV margins were classified as standard (1 cm) for 60 patients and extended (2-3 cm) for 45 patients. Survival and cumulative incidence of progression in treatment groups were compared by log-rank and Gray's tests, respectively. Cox proportional hazard models identified predictors of survival.

resultsFor 97 patients evaluated with magnetic resonance imaging at progression, the cumulative incidences of isolated local, isolated distant, and synchronous disease progression at 1 year were 62.6%, 12.3%, and 7.2%, respectively, and did not differ significantly according to the CTV margin. Central dosimetric progression (V

conclusionsAll patients who experienced local failure showed progression within the high-dose volume, and there was no apparent survival or tumor-control benefit to extending the CTV margins beyond 1 cm. Given the increasing use of reirradiation, standardizing the CTV margin to 1 cm may improve retreatment tolerance.

Indexed as

Radiotherapy, ConformalBrain Stem NeoplasmsChildChild, PreschoolDiffuse Intrinsic Pontine GliomaDisease ProgressionFemaleHumansMaleRetrospective StudiesSurvival AnalysisTomography, X-Ray Computed

Identifiers

PMID31785339
PMCPMC7042090
OpenAlexW2989813005

What OpenQuestion holds

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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.