Evidence map›Paper›PMID 32663535›Full record

ArticleRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology2020

Cardiac sub-volume targeting demonstrates regional radiosensitivity in the mouse heart.

Mihaela Ghita, Eleanor K Gill, Gerard M Walls, Kevin S Edgar, Stephen J McMahon, Eliana Vasquez Osorio, Carmen Bergom, David J Grieve, Chris J Watson, Alan McWilliam and 4 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05454553 (Efficacity of Deep Inspiration Breath Hold and Intensity-modulated Radiotherapy in Preventing PErfusion Defect for Left Sided Breast Cancer), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.7field-weighted citation impact, top 5% 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.

NCT05454553 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Efficacity of Deep Inspiration Breath Hold and Intensity-modulated Radiotherapy in Preventing PErfusion Defect for Left Sided Breast Cancer (EDIPE)

TypeinterventionalSponsorInstitut de cancérologie Strasbourg EuropeRan2022 to 2024Enrolled58ConditionsBreast CancerArmsmyocardial perfusion SPECT
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 38 citations in OpenAlex.

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  4. Principal Strain Analysis for Early Detection of Radiation-Induced Cardiotoxicity in a Mouse Model.International journal of radiation oncology, biology, physics · 2025
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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

14 authors at 3 institutions in 2 countries.

Mihaela GhitaPatrick G. Johnston Centre for Cancer Research, Queen's University Belfast, United Kingdom.
Eleanor K GillWellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, United Kingdom.
Gerard M WallsPatrick G. Johnston Centre for Cancer Research, Queen's University Belfast, United Kingdom.
Kevin S EdgarWellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, United Kingdom.
Stephen J McMahonPatrick G. Johnston Centre for Cancer Research, Queen's University Belfast, United Kingdom.
Eliana Vasquez OsorioDepartment of Radiotherapy Related Research, University of Manchester, United Kingdom.
Carmen BergomDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, United States; Department of Radiation Oncology, School of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA.
David J GrieveWellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, United Kingdom.
Chris J WatsonWellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, United Kingdom.
Alan McWilliamDepartment of Radiotherapy Related Research, University of Manchester, United Kingdom.
Marianne AznarDepartment of Radiotherapy Related Research, University of Manchester, United Kingdom.
Marcel van HerkDepartment of Radiotherapy Related Research, University of Manchester, United Kingdom.
Kaye J WilliamsDivision of Pharmacy and Optometry, University of Manchester, United Kingdom.
Karl T ButterworthPatrick G. Johnston Centre for Cancer Research, Queen's University Belfast, United Kingdom. Electronic address: k.butterworth@qub.ac.uk.
Queen's University Belfast · GBUniversity of Manchester · GBMedical College of Wisconsin · US

Funding

Genetic Modifiers of Radiation Therapy-Induced CardiotoxicityR01HL147884 · NHLBI · WASHINGTON UNIVERSITY · PI BERGOM, CARMEN · 2019 to 2023
$2.3M
British Heart Foundation PG/15/18/31333Cancer Research UK 21133Cancer Research UK 28701Cancer Research UK C147/A25254Medical Research Council MC_U137686858NHLBI NIH HHS R01 HL147884Wellcome TrustWellcome Trust 203930/B/16/Z
6 · The paper itself

Abstract

background and purposeRadiation-induced cardiac toxicity (RICT) remains one of the most critical dose limiting constraints in radiotherapy. Recent studies have shown higher doses to the base of the heart are associated with worse overall survival in lung cancer patients receiving radiotherapy. This work aimed to investigate the impact of sub-volume heart irradiation in a mouse model using small animal image-guided radiotherapy. MATERIALS AND

methodsC57BL/6 mice were irradiated with a single fraction of 16 Gy to the base, middle or apex of the heart using a small animal radiotherapy research platform. Cone beam CT and echocardiography were performed at baseline and at 10 week intervals until 50 weeks post-treatment. Structural and functional parameters were correlated with mean heart dose (MHD) and volume of heart receiving 5 Gy (V5).

resultsAll irradiated mice showed a time dependent increase in left ventricle wall thickness in diastole of ~0.2 mm detected at 10 weeks post-treatment, with the most significant and persistent changes occurring in the heart base-irradiated animals. Similarly, statistically different functional effects (p < 0.01) were observed in base-irradiated animals which showed the most significant decreases compared to controls. The observed functional changes did not correlate with MHD and V5 (R

conclusionsThis is the first report demonstrating the structural and functional consequences of sub-volume targeting in the mouse heart and reverse translates clinical observations indicating the heart base as a critical radiosensitive region.

Indexed as

Radiation InjuriesRadiometryAnimalsHeartHumansMiceMice, Inbred C57BLRadiation ToleranceRadiotherapy DosageRadiotherapy Planning, Computer-AssistedCardiac toxicityHeart doseMouse modelPreclinical radiotherapySmall animal radiotherapy

Identifiers

PMID32663535
PMCPMC10181791
OpenAlexW3040819803

What OpenQuestion holds

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Registered trials

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.