Evidence map›Paper›PMID 32178694›Full record

ArticleRadiation oncology (London, England)2020

Automated Hypofractionated IMRT treatment planning for early-stage breast Cancer.

Ting-Chun Lin, Chih-Yuan Lin, Kai-Chiun Li, Jin-Huei Ji, Ji-An Liang, An-Cheng Shiau, Liang-Chih Liu, Ti-Hao Wang

Open access · goldAbstract read
In one paragraph

Article in Radiation oncology (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.6field-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

16 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Automated treatment planning for brain and spinal metastases.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2026
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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

8 authors at 2 institutions in 1 country.

Ting-Chun LinDepartment of Radiation Oncology, China Medical University Hospital, China Medical University, Taichung, Taiwan.
Chih-Yuan LinDepartment of Radiation Oncology, China Medical University Hospital, China Medical University, Taichung, Taiwan.
Kai-Chiun LiDepartment of Radiation Oncology, China Medical University Hospital, China Medical University, Taichung, Taiwan.
Jin-Huei JiDepartment of Radiation Oncology, China Medical University Hospital, China Medical University, Taichung, Taiwan.
Ji-An LiangDepartment of Radiation Oncology, China Medical University Hospital, China Medical University, Taichung, Taiwan.
An-Cheng ShiauDepartment of Radiation Oncology, China Medical University Hospital, China Medical University, Taichung, Taiwan.
Liang-Chih LiuDepartment of Medicine, China Medical University, Taichung, Taiwan.
Ti-Hao WangDepartment of Radiation Oncology, China Medical University Hospital, China Medical University, Taichung, Taiwan. thothwang@gmail.com.
China Medical University Hospital · TWChina Medical University · TW

Funding

China Medical University Hospital CMUH Grant DMR-108-055
6 · The paper itself

Abstract

backgroundHypofractionated whole-breast irradiation is a standard adjuvant therapy for early-stage breast cancer. This study evaluates the plan quality and efficacy of an in-house-developed automated radiotherapy treatment planning algorithm for hypofractionated whole-breast radiotherapy.

methodsA cohort of 99 node-negative left-sided breast cancer patients completed hypofractionated whole-breast irradiation with six-field IMRT for 42.56 Gy in 16 daily fractions from year 2016 to 2018 at a tertiary center were re-planned with an in-house-developed algorithm. The automated plan-generating C#-based program is developed in a Varian ESAPI research mode. The dose-volume histogram (DVH) and other dosimetric parameters of the automated and manual plans were directly compared.

resultsThe average time for generating an autoplan was 5 to 6 min, while the manual planning time ranged from 1 to 1.5 h. There was only a small difference in both the gantry angles and the collimator angles between the autoplans and the manual plans (ranging from 2.2 to 5.3 degrees). Autoplans and manual plans performed similarly well in hotspot volume and PTV coverage, with the autoplans performing slightly better in the ipsilateral-lung-sparing dose parameters but were inferior in contralateral-breast-sparing. The autoplan dosimetric quality did not vary with different breast sizes, but for manual plans, there was worse ipsilateral-lung-sparing (V

conclusionsOur study presents a well-designed standardized fully automated planning algorithm for optimized whole-breast radiotherapy treatment plan generation. A large cohort of 99 patients were re-planned and retrospectively analyzed. The automated plans demonstrated similar or even better dosimetric quality and efficacy in comparison with the manual plans. Our result suggested that the autoplanning algorithm has great clinical applicability potential.

Indexed as

Radiation Dose HypofractionationAdultAgedAged, 80 and overBreast NeoplasmsFemaleHumansMiddle AgedPrognosisRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedRetrospective StudiesYoung AdultAutomationAutoplanningEarly-stageHypofractionationIMRTLeft-sided breast cancerTreatment planningWhole-breast irradiation

Identifiers

PMID32178694
PMCPMC7077022
OpenAlexW3012169843

What OpenQuestion holds

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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.