Evidence map›Paper›PMID 32588102›Full record

ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2021

Tumor-dose-rate variations during robotic radiosurgery of oligo and multiple brain metastases.

Maria-Lisa Wilhelm, Mark K H Chan, Benedikt Abel, Florian Cremers, Frank-Andre Siebert, Stefan Wurster, David Krug, Robert Wolff, Jürgen Dunst, Guido Hildebrandt and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Impact of prescription isodose level and collimator selection on dose homogeneity and plan quality in robotic radiosurgery.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2022
    Article
  3. 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

14 authors at 7 institutions in 1 country.

Maria-Lisa WilhelmDepartment of Radiation Oncology, University Medicine Rostock, Rostock, Germany.
Mark K H ChanDepartment of Radiation Oncology, Karl-Lennert-Krebscentrum Nord, University Medical Center Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3, Haus 50, 24105, Kiel, Germany.
Benedikt AbelInstitute for Robotics and Cognitive Systems, University of Luebeck, Luebeck, Germany.
Florian CremersDepartment of Radiation Oncology, University Medical Center Schleswig-Holstein, Luebeck, Germany.
Frank-Andre SiebertDepartment of Radiation Oncology, Karl-Lennert-Krebscentrum Nord, University Medical Center Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3, Haus 50, 24105, Kiel, Germany.
Stefan WursterSaphir Radiosurgery Center Frankfurt and Northern Germany, Guestrow, Germany.
David KrugSaphir Radiosurgery Center Frankfurt and Northern Germany, Guestrow, Germany.
Robert WolffSaphir Radiosurgery Center Frankfurt and Northern Germany, Guestrow, Germany.
Jürgen DunstDepartment of Radiation Oncology, Karl-Lennert-Krebscentrum Nord, University Medical Center Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3, Haus 50, 24105, Kiel, Germany.
Guido HildebrandtDepartment of Radiation Oncology, University Medicine Rostock, Rostock, Germany.
Achim SchweikardInstitute for Robotics and Cognitive Systems, University of Luebeck, Luebeck, Germany.
Dirk RadesDepartment of Radiation Oncology, University Medical Center Schleswig-Holstein, Luebeck, Germany.
Floris ErnstInstitute for Robotics and Cognitive Systems, University of Luebeck, Luebeck, Germany.
Oliver BlanckSaphir Radiosurgery Center Frankfurt and Northern Germany, Guestrow, Germany. oliver.blanck@uksh.de.ORCID 0000-0003-1391-1308
University Hospital Schleswig-Holstein · DEUniversity of Lübeck · DESAPHIR Radiochirurgie · DEEssen University Hospital · DEGoethe University Frankfurt · DEUniversitätsmedizin Greifswald · DEUniversity of Rostock · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFor step-and-shoot robotic stereotactic radiosurgery (SRS) the dose delivered over time, called local tumor-dose-rate (TDR), may strongly vary during treatment of multiple lesions. The authors sought to evaluate technical parameters influencing TDR and correlate TDR to clinical outcome. MATERIAL AND

methodsA total of 23 patients with 162 oligo (1-3) and multiple (>3) brain metastases (OBM/MBM) treated in 33 SRS sessions were retrospectively analyzed. Median PTV were 0.11 cc (0.01-6.36 cc) and 0.50 cc (0.12-3.68 cc) for OBM and MBM, respectively. Prescription dose ranged from 16 to 20 Gy prescribed to the median 70% isodose line. The maximum dose-rate for planning target volume (PTV) percentage p in time span s during treatment (TDR

resultsTDR

conclusionsLarge TDR variations are noted during MBM-SRS which mainly arise from prolonged treatment times. Clinically, low TDR corresponded with decreased local tumor responses, although the main influencing factor was concomitant medication.

Indexed as

Brain NeoplasmsHumansRadiation DosageRadiosurgeryRetrospective StudiesRobotic Surgical ProceduresTreatment OutcomeTumor BurdenCyberKnifeRadiation biologySRSStereotactic radiosurgery

Identifiers

PMID32588102
PMCPMC8219559
OpenAlexW3037253191

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.