Evidence map›Paper›PMID 32395640›Full record

ArticleClinical and translational radiation oncology2020

Daily adaptive radiotherapy for patients with prostate cancer using a high field MR-linac: Initial clinical experiences and assessment of delivered doses compared to a C-arm linac.

Alex Dunlop, Adam Mitchell, Alison Tree, Helen Barnes, Lorna Bower, Joan Chick, Edmund Goodwin, Trina Herbert, Rebekah Lawes, Helen McNair and 8 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
18.3field-weighted citation impact, top 1% 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

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Intra-adaptational changes in online adaptive radiotherapy: from the ideal to the real dose.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Dealing with rectum motion during radiotherapy: How can we anticipate it?Technical innovations & patient support in radiation oncology · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

18 authors at 3 institutions in 1 country.

Alex DunlopThe Joint Department of Physics, the Royal Marsden Hospital and the Institute of Cancer Research, United Kingdom.
Adam MitchellThe Joint Department of Physics, the Royal Marsden Hospital and the Institute of Cancer Research, United Kingdom.
Alison TreeThe Royal Marsden NHS Foundation Trust and the Institute of Cancer Research, United Kingdom.
Helen BarnesThe Royal Marsden NHS Foundation Trust, United Kingdom.
Lorna BowerThe Royal Marsden NHS Foundation Trust and the Institute of Cancer Research, United Kingdom.
Joan ChickThe Joint Department of Physics, the Royal Marsden Hospital and the Institute of Cancer Research, United Kingdom.
Edmund GoodwinThe Joint Department of Physics, the Royal Marsden Hospital and the Institute of Cancer Research, United Kingdom.
Trina HerbertThe Royal Marsden NHS Foundation Trust, United Kingdom.
Rebekah LawesThe Royal Marsden NHS Foundation Trust, United Kingdom.
Helen McNairThe Royal Marsden NHS Foundation Trust and the Institute of Cancer Research, United Kingdom.
Dualta McQuaidThe Joint Department of Physics, the Royal Marsden Hospital and the Institute of Cancer Research, United Kingdom.
Jonathan MohajerThe Joint Department of Physics, the Royal Marsden Hospital and the Institute of Cancer Research, United Kingdom.
Rahul NilawarThe Joint Department of Physics, the Royal Marsden Hospital and the Institute of Cancer Research, United Kingdom.
Angela PathmanathanThe Institute of Cancer Research, United Kingdom.
Gillian SmithThe Royal Marsden NHS Foundation Trust, United Kingdom.
Ian HansonThe Joint Department of Physics, the Royal Marsden Hospital and the Institute of Cancer Research, United Kingdom.
Simeon NillThe Joint Department of Physics, the Royal Marsden Hospital and the Institute of Cancer Research, United Kingdom.
Uwe OelfkeThe Joint Department of Physics, the Royal Marsden Hospital and the Institute of Cancer Research, United Kingdom.
Institute of Cancer Research · GBRoyal Marsden Hospital · GBRoyal Marsden NHS Foundation Trust · GB

Funding

Cancer Research UK 19727Cancer Research UK 28284Department of Health ICA-SCL-2018-04-ST2-002
6 · The paper itself

Abstract

introductionMR-guided adapted radiotherapy (MRgART) using a high field MR-linac has recently become available. We report the estimated delivered fractional dose of the first five prostate cancer patients treated at our centre using MRgART and compare this to C-Arm linac daily Image Guided Radiotherapy (IGRT).

methodsPatients were treated using adapted treatment plans shaped to their daily anatomy. The treatments were recalculated on an MR image acquired immediately prior to treatment delivery in order to estimate the delivered fractional dose. C-arm linac non-adapted VMAT treatment plans were recalculated on the same MR images to estimate the fractional dose that would have been delivered using conventional radiotherapy techniques using a daily IGRT protocol.

results95% and 93% of mandatory target coverage objectives and organ at risk dose constraints were achieved by MRgART and C-arm linac delivered dose estimates, respectively. Both delivery techniques were estimated to have achieved 98% of mandatory Organ At Risk (OAR) dose constraints whereas for the target clinical goals, 86% and 80% were achieved by MRgART and C-arm linac delivered dose estimates.

conclusionsProstate MRgART can be delivered using the a high field MR-linac. Radiotherapy performed on a C-arm linac offers a good solution for prostate cancer patients who present with favourable anatomy at the time of reference imaging and demonstrate stable anatomy throughout the course of their treatment. For patients with critical OARs abutting target volumes on their reference image we have demonstrated the potential for a target dose coverage improvement for MRgART compared to C-arm linac treatment.

Indexed as

Adaptive radiotherapyHigh-field MR-linacInterfractional motionMR-guided radiotherapyMR-linacProstate cancer

Identifiers

PMID32395640
PMCPMC7210377
OpenAlexW3023786381

What OpenQuestion holds

Textmetadata
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.