Evidence map›Paper›PMID 32411833›Full record

ArticlePhysics and imaging in radiation oncology2020

Quantification of accumulated dose and associated anatomical changes of esophagus using weekly Magnetic Resonance Imaging acquired during radiotherapy of locally advanced lung cancer.

Sadegh Alam, Maria Thor, Andreas Rimner, Neelam Tyagi, Si-Yuan Zhang, Li Cheng Kuo, Saad Nadeem, Wei Lu, Yu-Chi Hu, Ellen Yorke and 1 more

Open access · goldAbstract read
In one paragraph

Article in Physics and imaging in radiation oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 22 citations in OpenAlex.

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  7. Deep learning driven predictive treatment planning for adaptive radiotherapy of lung cancer.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2022
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  10. Early Prediction of Acute Esophagitis for Adaptive Radiation Therapy.International journal of radiation oncology, biology, physics · 2021
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  14. Predictive dose accumulation for HN adaptive radiotherapy.Physics in medicine and biology · 2020
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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

11 authors at 2 institutions in 2 countries.

Sadegh AlamDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
Maria ThorDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
Andreas RimnerDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, United States.
Neelam TyagiDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
Si-Yuan ZhangDepartment of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, China.
Li Cheng KuoDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
Saad NadeemDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
Wei LuDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
Yu-Chi HuDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
Ellen YorkeDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
Pengpeng ZhangDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
Memorial Sloan Kettering Cancer Center · USPeking University · CN

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

background and purposeMinimizing acute esophagitis (AE) in locally advanced non-small cell lung cancer (LA-NSCLC) is critical given the proximity between the esophagus and the tumor. In this pilot study, we developed a clinical platform for quantification of accumulated doses and volumetric changes of esophagus via weekly Magnetic Resonance Imaging (MRI) for adaptive radiotherapy (RT). MATERIAL AND

methodsEleven patients treated via intensity-modulated RT to 60-70 Gy in 2-3 Gy-fractions with concurrent chemotherapy underwent weekly MRIs. Eight patients developed AE grade 2 (AE2), 3-6 weeks after RT started. First, weekly MRI esophagus contours were rigidly propagated to planning CT and the distances between the medial esophageal axes were calculated as positional uncertainties. Then, the weekly MRI were deformably registered to the planning CT and the total dose delivered to esophagus was accumulated. Weekly Maximum Esophagus Expansion (MEex) was calculated using the Jacobian map. Eventually, esophageal dose parameters (Mean Esophagus Dose (MED), V

resultsPositional esophagus uncertainties were 6.8 ± 1.8 mm across patients. For the entire cohort at the end of RT: the median accumulated MED was significantly higher than the planned dose (24 Gy vs. 21 Gy

conclusionsMRI is well suited for tracking esophagus volumetric changes and accumulating doses. Longitudinal esophagus expansion could reflect radiation-induced inflammation that may link to AE.

Indexed as

Adaptive radiotherapyDose accumulationEsophagusLung cancerMRI

Identifiers

PMID32411833
PMCPMC7224352
OpenAlexW3013104684

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.