Evidence map›Paper›PMID 32384918›Full record

ArticleBMC cancer2020

Stereotactic robotic body radiotherapy for patients with oligorecurrent pulmonary metastases.

Patrick Berkovic, Akos Gulyban, Gilles Defraene, Laurie Swenen, David Dechambre, Paul Viet Nguyen, Nicolas Jansen, Carole Mievis, Pierre Lovinfosse, Levente Janvary and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 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
1.8field-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

8 citing papers in PubMed, 22 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

12 authors at 3 institutions in 1 country.

Patrick BerkovicDepartment of Radiation Oncology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium. patrick.berkovic@uzleuven.be.ORCID http://orcid.org/0000-0002-6330-2140
Akos GulybanDepartment of Radiation Oncology, University Hospital of Liège, Avenue de L'Hòpital 1, 4000, Liège, Belgium.
Gilles DefraeneDepartment of Radiation Oncology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Laurie SwenenDepartment of Radiation Oncology, University Hospital of Liège, Avenue de L'Hòpital 1, 4000, Liège, Belgium.
David DechambreDepartment of Radiation Oncology, University Hospital of Liège, Avenue de L'Hòpital 1, 4000, Liège, Belgium.
Paul Viet NguyenDepartment of Radiation Oncology, University Hospital of Liège, Avenue de L'Hòpital 1, 4000, Liège, Belgium.
Nicolas JansenDepartment of Radiation Oncology, University Hospital of Liège, Avenue de L'Hòpital 1, 4000, Liège, Belgium.
Carole MievisDepartment of Radiation Oncology, University Hospital of Liège, Avenue de L'Hòpital 1, 4000, Liège, Belgium.
Pierre LovinfosseDepartment of Radiation Oncology, University Hospital of Liège, Avenue de L'Hòpital 1, 4000, Liège, Belgium.
Levente JanvaryDepartment of Radiation Oncology, University Hospital of Liège, Avenue de L'Hòpital 1, 4000, Liège, Belgium.
Maarten LambrechtDepartment of Radiation Oncology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Gert De MeerleerDepartment of Radiation Oncology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
University of Liège · BEKU Leuven · BEUniversité Libre de Bruxelles · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur aim is to report treatment efficacy and toxicity of patients treated by robotic (Cyberknife®) stereotactic body radiotherapy (SBRT) for oligorecurrent lung metastases (ORLM). Additionally we wanted to evaluate influence of tumor, patient and treatment related parameters on local control (LC), lung and distant progression free- (lung PFS/Di-PFS) and overall survival (OS).

methodsConsecutive patients with up to 5 ORLM (confirmed by FDG PET/CT) were included in this study. Intended dose was 60Gy in 3 fractions (prescribed to the 80% isodose volume). Patients were followed at regular intervals and tumor control and toxicity was prospectively scored. Tumor, patient and treatment data were analysed using competing risk- and Cox regression.

resultsBetween May 2010 and March 2016, 104 patients with 132 lesions were irradiated from primary lung carcinoma (47%), gastro-intestinal (34%) and mixed primary histologies (19%). The mean tumor volume was 7.9 cc. After a median follow up of 22 months, the 1, 2 and 3 year LC rate (per lesion) was 89.3, 80.0 and 77.8% respectively. The corresponding (per patient) 1, 2 and 3 years lung PFS were 66.3, 50.0, 42.6%, Di-PFS were 80.5, 64.4, 60.6% and OS rates were 92.2, 80.9 and 72.0% respectively. On univariable analysis, gastro-intestinal (GI) as primary tumor site showed a significant superior local control versus the other primary tumor sites. For OS, significant variables were primary histology and primary tumor site with a superior OS for patients with metastases of primary GI origin. LC was significantly affected by the tumor volume, physical and biologically effective dose coverage. Significant variables in multivariable analysis were BED prescription dose for LC and GI as primary site for OS. The vast majority of patients developed no toxicity or grade 1 acute and late toxicity. Acute and late grade 3 radiation pneumonitis (RP) was observed in 1 and 2 patients respectively. One patient with a centrally located lesion developed grade 4 RP and died due to possible RT-induced pulmonary hemorrhage.

conclusionsSBRT is a highly effective local therapy for oligorecurrent lung metastases and could achieve long term survival in patients with favourable prognostic features.

Indexed as

AdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasmsPrognosisRadiosurgeryRetrospective StudiesRoboticsSurvival RateLung-Oligometastases-Oligorecurrence-Cyberknife-prognostic factors-outcome

Identifiers

PMID32384918
PMCPMC7206759
OpenAlexW3023375271

What OpenQuestion holds

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LicenceCC BY
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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.