Evidence map›Paper›PMID 32471500›Full record

ReviewRadiation oncology (London, England)2020

MR-guided proton therapy: a review and a preview.

Aswin Hoffmann, Bradley Oborn, Maryam Moteabbed, Susu Yan, Thomas Bortfeld, Antje Knopf, Herman Fuchs, Dietmar Georg, Joao Seco, Maria Francesca Spadea and 3 more

Abstract readReview
In one paragraph

Review 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 73 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

73 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. A systematic review of volumetric image guidance in proton therapy.Physical and engineering sciences in medicine · 2023
    Pooled it
  2. Health Economic Evaluation of Proton Therapy for Lung Cancer: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
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13 more citing papers are in PubMed but not listed here.

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

13 authors.

Aswin HoffmannOncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Helmholtz-Zentrum Dresden-Rossendorf, Dresden, Germany.
Bradley ObornCentre for Medical Radiation Physics, University of Wollongong, Wollongong, Australia.
Maryam MoteabbedDivision of Radiation Biophysics, Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, USA.
Susu YanDivision of Radiation Biophysics, Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, USA.
Thomas BortfeldDivision of Radiation Biophysics, Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, USA.
Antje KnopfDepartment of Radiation Oncology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Herman FuchsDepartment of Radiation Oncology, Medical University of Vienna/AKH, Vienna, Austria.
Dietmar GeorgDepartment of Radiation Oncology, Medical University of Vienna/AKH, Vienna, Austria.
Joao SecoBiomedical Physics in Radiation Oncology, Deutsches Krebsforschungszentrum DKFZ, Heidelberg, Germany.
Maria Francesca SpadeaBiomedical Physics in Radiation Oncology, Deutsches Krebsforschungszentrum DKFZ, Heidelberg, Germany.
Oliver JäkelMedical Physics in Radiation Oncology, Deutsches Krebsforschungszentrum DKFZ and Heidelberg Ion-Beam Therapy Center at the University Medical Center, Heidelberg, Germany.
Christopher KurzDepartment of Radiation Oncology, University Hospital, LMU Munich, Munich, Germany.
Katia ParodiDepartment of Medical Physics, Faculty of Physics, Ludwig-Maximilians-Universität München, Garching, Germany. Katia.Parodi@physik.uni-muenchen.de.ORCID http://orcid.org/0000-0001-7779-6690

Funding

Austrian Science Fund P 30065-B27Cancer Council NSW APP1128336IBA N/ANational Health and Medical Research Council 1036078
6 · The paper itself

Abstract

backgroundThe targeting accuracy of proton therapy (PT) for moving soft-tissue tumours is expected to greatly improve by real-time magnetic resonance imaging (MRI) guidance. The integration of MRI and PT at the treatment isocenter would offer the opportunity of combining the unparalleled soft-tissue contrast and real-time imaging capabilities of MRI with the most conformal dose distribution and best dose steering capability provided by modern PT. However, hybrid systems for MR-integrated PT (MRiPT) have not been realized so far due to a number of hitherto open technological challenges. In recent years, various research groups have started addressing these challenges and exploring the technical feasibility and clinical potential of MRiPT. The aim of this contribution is to review the different aspects of MRiPT, to report on the status quo and to identify important future research topics.

methodsFour aspects currently under study and their future directions are discussed: modelling and experimental investigations of electromagnetic interactions between the MRI and PT systems, integration of MRiPT workflows in clinical facilities, proton dose calculation algorithms in magnetic fields, and MRI-only based proton treatment planning approaches.

conclusionsAlthough MRiPT is still in its infancy, significant progress on all four aspects has been made, showing promising results that justify further efforts for research and development to be undertaken. First non-clinical research solutions have recently been realized and are being thoroughly characterized. The prospect that first prototype MRiPT systems for clinical use will likely exist within the next 5 to 10 years seems realistic, but requires significant work to be performed by collaborative efforts of research groups and industrial partners.

Indexed as

HumansMagnetic FieldsMagnetic Resonance ImagingOnline SystemsProton TherapyRadiotherapy DosageRadiotherapy, Image-GuidedRadiotherapy Planning, Computer-AssistedWorkflowImage guidanceMagnetic resonance imagingProton therapy

Identifiers

PMID32471500
PMCPMC7260752

What OpenQuestion holds

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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.