Evidence map›Paper›PMID 33458275›Full record

ArticlePhysics and imaging in radiation oncology2019

Development of a multicentre automated model to reduce planning variability in radiotherapy of prostate cancer.

Vanessa Panettieri, David Ball, Adam Chapman, Nigel Cristofaro, Janet Gawthrop, Peter Griffin, Sisira Herath, Susan Hoyle, Liam Jukes, Tomas Kron and 7 more

Open access · goldAbstract read
In one paragraph

Article in Physics and imaging in radiation oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 35 citations in OpenAlex.

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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

17 authors at 3 institutions in 1 country.

Vanessa PanettieriAlfred Health Radiation Oncology, The Alfred Hospital, Melbourne, Australia.
David BallPeter MacCallum Cancer Centre, Parkville, Australia.
Adam ChapmanDept Health & Human Services, Victoria, Australia.
Nigel CristofaroGippsland Radiation Oncology, Traralgon, Australia.
Janet GawthropPeter MacCallum Cancer Centre, Bendigo, Australia.
Peter GriffinAlfred Health Radiation Oncology, The Alfred Hospital, Melbourne, Australia.
Sisira HerathPeter MacCallum Cancer Centre, Box Hill, Australia.
Susan HoylePeter MacCallum Cancer Centre, Box Hill, Australia.
Liam JukesSouth-West Regional Cancer Centre, Warrnambool, Australia.
Tomas KronPeter MacCallum Cancer Centre, Parkville, Australia.
Cathy MarkhamPeter MacCallum Cancer Centre, Parkville, Australia.
Loretta MarrSouth-West Regional Cancer Centre, Warrnambool, Australia.
Phillip MoloneyAndrew Love Cancer Centre, Geelong, Australia.
Flavio NelliAndrew Love Cancer Centre, Geelong, Australia.
Prabhakar RamachandranPeter MacCallum Cancer Centre, Moorabbin, Australia.
Amanda SmithPeter MacCallum Cancer Centre, Moorabbin, Australia.
Colin J HornbyDept Health & Human Services, Victoria, Australia.
Peter MacCallum Cancer Centre · AUAlfred Health · AUThe Alfred Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeInter-institutional studies highlighted correlation between consistent radiotherapy quality and improved overall patient survival. In treatment planning automation has the potential to address differences due to user-experience and training, promoting standardisation. The aim of this study was to evaluate implementation and clinical effect of a multicentre collaboratively-developed automated planning model for Intensity-Modulated Radiation Therapy/Volumetric-Modulated Arc Therapy of prostate. The model was built using a variety of public institutions' clinical plans, incorporating different contouring and dose protocols, aiming at minimising their variation. METHODS AND MATERIALS: A model using 110 clinically approved and treated prostate plans provided by different radiotherapy centres was built with RapidPlan (RP), for use on intact and post-prostatectomy prostate cases. The model was validated, distributed and introduced into clinical practice in all institutions. To investigate its impact a total of 126 patients, originally manually inverse planned (OP), were replanned using RP without additional planner manual intervention. Target and organ-at-risk (OAR) metrics were statistically compared between original and automated plans.

resultsFor all centres combined and individually, RP provided plans comparable or superior to OP for all dose metrics. Statistically significant reductions with RP were found in bladder (V40Gy) and rectal (V50Gy) low doses (within 2.3% and 3.4% for combined and 4% and 10% individually). No clinically significant changes were seen for the PTV, independently of seminal vesicle inclusion.

conclusionThis project showed it is feasible to develop, share and implement RP models created with plans from different institutions treated with a variety of techniques and dose protocols, with the potential of improving treatment planning results and/or efficiency despite the original variability.

Identifiers

PMID33458275
PMCPMC7807596
OpenAlexW2969127145

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.