Evidence map›Paper›PMID 32311600›Full record

Trial reportRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology2020

Prostate bed and organ-at-risk deformation: Prospective volumetric and dosimetric data from a phase II trial of stereotactic body radiotherapy after radical prostatectomy.

Stephanie Yoon, Minsong Cao, Nima Aghdam, David Shabsovich, Sartajdeep Kahlon, Leslie Ballas, Sean Collins, Michael Lee Steinberg, Amar U Kishan

Open access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.9field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  5. Review
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  10. Review
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  12. Evaluation of the XVI dual registration tool for image-guided radiotherapy in prostate cancer.Technical innovations & patient support in radiation oncology · 2021
    Article
  13. Article
  14. 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

9 authors at 3 institutions in 1 country.

Stephanie YoonDepartment of Radiation Oncology, University of California Los Angeles, Los Angeles, United States.
Minsong CaoDepartment of Radiation Oncology, University of California Los Angeles, Los Angeles, United States.
Nima AghdamDepartment of Radiation Medicine, Georgetown University, Washington, United States.
David ShabsovichDavid Geffen School of Medicine, University of California Los Angeles, United States.
Sartajdeep KahlonDavid Geffen School of Medicine, University of California Los Angeles, United States.
Leslie BallasDepartment of Radiation Oncology, University of Southern California, Los Angeles, United States.
Sean CollinsDepartment of Radiation Medicine, Georgetown University, Washington, United States.
Michael Lee SteinbergDepartment of Radiation Oncology, University of California Los Angeles, Los Angeles, United States.
Amar U KishanDepartment of Radiation Oncology, University of California Los Angeles, Los Angeles, United States. Electronic address: aukishan@mednet.ucla.edu.
University of California, Los Angeles · USGeorgetown University · USUniversity of Southern California · US

Funding

UCLA SPORE IN PROSTATE CANCERP50CA092131 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI REITER, ROBERT E · 2002 to 2023
$42.6M
Integrative Cancer Scholars Training GrantT32CA009213 · NCI · UNIVERSITY OF ARIZONA · PI CAREW, JENNIFER S, CURIEL-LEWANDROWSKI, CLARA · 1985 to 2024
$8.6M
NCI NIH HHS P50 CA092131NCI NIH HHS T32 CA009213
6 · The paper itself

Abstract

purposeStereotactic body radiotherapy (SBRT) in the post-prostatectomy setting is investigational. A major concern is the deformable prostate bed clinical target volume (CTV) and the closely juxtaposed organs-at-risk (OARs). We report a volumetric and dosimetric analysis of kilovoltage cone-beam CT (CBCT) data from the first 18 patients enrolled on a phase II trial of post-prostatectomy SBRT. With instructions on bladder filling and rectal preparation, we hypothesized acceptable CTV coverage while minimal overdosing to OARs could be achieved.

methodsAll patients received 5 fractions of 6-6.8 Gy to the prostate bed. CBCT were taken prior to and halfway through each fraction. CTV and OARs were contoured for each CBCT. Changes in inter- and intra-fraction volume and dose were calculated. Relative changes in CTV V95%, bladder V32.5 Gy, and rectal V32.5 Gy and V27.5 Gy were evaluated.

resultsInterfraction CTV volume remained stable, with median change +5.69% (IQR -1.73% to +9.84%). CTV V95% exhibited median change -0.74% (IQR -9.15% to -0.07%). Volumetric and dosimetric changes were minor from interfraction rotation and intrafraction motion. CTV V95% was ≥93% in 13 of 18 (72%) patients; in the remaining five, median change was -14.09% (IQR -16.64% to -13.56%). Interfraction CTV volume change was significantly larger among patients with CTV V95% <93% (+25.04% vs. +2.85%, p = 0.002).

conclusionsWith specific bladder and rectum filling protocols, CTV underdosing and overdosing to bladder and rectum are avoided in majority of patients. Changes in CTV shape may account for the underdosing that may be observed.

Indexed as

Prostatic NeoplasmsRadiosurgeryRadiotherapy, Intensity-ModulatedCone-Beam Computed TomographyHumansMaleProspective StudiesProstatectomyRadiotherapy DosageRadiotherapy Planning, Computer-AssistedRectumPost-prostatectomyProstate cancerStereotactic body radiotherapy

Identifiers

PMID32311600
PMCPMC11288625
OpenAlexW3016208744

What OpenQuestion holds

Textmetadata
LicenceTDM
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.