Evidence map›Paper›PMID 33034672›Full record

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

Incorporating dose-volume histogram parameters of swallowing organs at risk in a videofluoroscopy-based predictive model of radiation-induced dysphagia after head and neck cancer intensity-modulated radiation therapy.

Stefano Ursino, Alessia Giuliano, Fabio Di Martino, Paola Cocuzza, Alessandro Molinari, Antonio Stefanelli, Patrizia Giusti, Giacomo Aringhieri, Riccardo Morganti, Emanuele Neri and 2 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 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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

12 authors at 4 institutions in 2 countries.

Stefano UrsinoDepartment of Radiation Oncology, University Hospital S. Chiara, Via Roma 55, 56100, Pisa, Italy. stefano.ursino@med.unipi.it.ORCID http://orcid.org/0000-0003-3018-2338
Alessia GiulianoDepartment of Physics, S. Luca Hospital, Via Guglielmo Lippi Francesconi 556, 55100, Lucca, Italy.
Fabio Di MartinoDepartment of Physics, University Hospital S. Chiara, Via Roma 55, 56100, Pisa, Italy.
Paola CocuzzaDepartment of Radiation Oncology, University Hospital S. Chiara, Via Roma 55, 56100, Pisa, Italy.
Alessandro MolinariDepartment of Radiation Oncology, University Hospital S. Chiara, Via Roma 55, 56100, Pisa, Italy.
Antonio StefanelliDepartment of Radiation Oncology, University Hospital Cona, Via Aldo Moro 8, 44124, Ferrara, Italy.
Patrizia GiustiDepartment of Radiology, University Hospital S. Chiara/Cisanello, Via Roma 55/Via Paradisa 2, 56100, Pisa, Italy.
Giacomo AringhieriDepartment of Radiology, University Hospital S. Chiara/Cisanello, Via Roma 55/Via Paradisa 2, 56100, Pisa, Italy.
Riccardo MorgantiDepartment of Clinical and Experimental Medicine, Section of Statistics, Via Roma 55, 56100, Pisa, Italy.
Emanuele NeriDepartment of Radiology, University Hospital S. Chiara/Cisanello, Via Roma 55/Via Paradisa 2, 56100, Pisa, Italy.
Claudio TrainoDepartment of Physics, University Hospital S. Chiara, Via Roma 55, 56100, Pisa, Italy.
Fabiola PaiarDepartment of Radiation Oncology, University Hospital S. Chiara, Via Roma 55, 56100, Pisa, Italy.
Ospedale Cisanello · ITOspedale Santa Chiara · ITUniversity of Pisa · ITCentro Studi Luca d’Agliano · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo develop a videofluoroscopy-based predictive model of radiation-induced dysphagia (RID) by incorporating DVH parameters of swallowing organs at risk (SWOARs) in a machine learning analysis.

methodsVideofluoroscopy (VF) was performed to assess the penetration-aspiration score (P/A) at baseline and at 6 and 12 months after RT. An RID predictive model was developed using dose to nine SWOARs and P/A-VF data at 6 and 12 months after treatment. A total of 72 dosimetric features for each patient were extracted from DVH and analyzed with linear support vector machine classification (SVC), logistic regression classification (LRC), and random forest classification (RFC).

results38 patients were evaluable. The relevance of SWOARs DVH features emerged both at 6 months (AUC 0.82 with SVC; 0.80 with LRC; and 0.83 with RFC) and at 12 months (AUC 0.85 with SVC; 0.82 with LRC; and 0.94 with RFC). The SWOARs and the corresponding features with the highest relevance at 6 months resulted as the base of tongue (V65 and D

conclusionWe trained and cross-validated an RID predictive model with high discriminative ability at both 6 and 12 months after RT. We expect to improve the predictive power of this model by enlarging the number of training datasets.

Indexed as

Deglutition DisordersFluoroscopyHead and Neck NeoplasmsHumansMachine LearningModels, BiologicalOrgans at RiskRadiotherapy DosageRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedRisk FactorsAspirationDeglutitionMachine learning machinesNormal tissue complication probabilityRadiotherapy

Identifiers

PMID33034672
PMCPMC7892680
OpenAlexW3091980542

What OpenQuestion holds

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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.