Evidence map›Paper›PMID 33482863›Full record

ArticleRadiation oncology (London, England)2021

Intra-fraction displacement of the prostate bed during post-prostatectomy radiotherapy.

Linda J Bell, Thomas Eade, George Hruby, Regina Bromley, Andrew Kneebone

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Radiation oncology (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04831970 (POst-Prostatectomy Ablative Radiation Therapy), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 18% 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.

NCT04831970 recruitingnot on this map

POst-Prostatectomy Ablative Radiation Therapy

TypeobservationalSponsorUniversity of Milano BicoccaRan2021 to 2026Enrolled30ConditionsRadiation Toxicity
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 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

5 authors at 2 institutions in 1 country.

Linda J BellNorthern Sydney Cancer Centre, Radiation Oncology Department, Royal North Shore Hospital, St Leonards, NSW, 2065, Australia. Linda.Bell1@health.nsw.gov.au.ORCID http://orcid.org/0000-0003-1254-9546
Thomas EadeNorthern Sydney Cancer Centre, Radiation Oncology Department, Royal North Shore Hospital, St Leonards, NSW, 2065, Australia.
George HrubyNorthern Sydney Cancer Centre, Radiation Oncology Department, Royal North Shore Hospital, St Leonards, NSW, 2065, Australia.
Regina BromleyNorthern Sydney Cancer Centre, Radiation Oncology Department, Royal North Shore Hospital, St Leonards, NSW, 2065, Australia.
Andrew KneeboneNorthern Sydney Cancer Centre, Radiation Oncology Department, Royal North Shore Hospital, St Leonards, NSW, 2065, Australia.
The University of Sydney · AURoyal North Shore Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo measure intra-fraction displacement (IFD) in post-prostatectomy patients treated with anisotropic margins and daily soft tissue matching.

methodsPre-treatment cone beam computed tomography (CBCT) scans were acquired daily and post-treatment CBCTs for the first week then weekly on 46 patients. The displacement between the scans was calculated retrospectively to measure IFD of the prostate bed (PB). The marginal miss (MM) rate, and the effect of time between imaging was assessed.

resultsA total of 392 post-treatment CBCT's were reviewed from 46 patients. The absolute mean (95% CI) IFD was 1.5 mm (1.3-1.7 mm) in the AP direction, 1.0 mm (0.9-1.2 mm) SI, 0.8 mm (0.7-0.9 mm) LR, and 2.4 mm (2.2-2.5 mm) 3D displacement. IFD ≥  ± 3 mm and ≥  ± 5 mm was 24.7% and 5.4% respectively. MM of the PB was detected in 33 of 392 post-treatment CBCT (8.4%) and lymph nodes in 6 of 211 post-treatment CBCT images (2.8%). Causes of MM due to IFD included changes in the bladder (87.9%), rectum (66.7%) and buttock muscles (6%). A time ≥ 9 min between the pre and post-treatment CBCT demonstrated that movement ≥ 3 mm and 5 mm increased from 19.2 to 40.5% and 5 to 8.1% respectively.

conclusionsIFD during PB irradiation was typically small, but was a major contributor to an 8.4% MM rate when using daily soft tissue match and tight anisotropic margins.

Indexed as

ProstatectomyCone-Beam Computed TomographyHumansMaleProstateProstatic NeoplasmsRadiotherapy, Image-GuidedRetrospective StudiesIGRTIntra-fraction motionPost-prostatectomyProstate bedRadiotherapy

Identifiers

PMID33482863
PMCPMC7821719
OpenAlexW3121752144

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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.