Evidence map›Paper›PMID 33634020›Full record

SynthesisFrontiers in oncology2020

Potential Clinical Significance of Overall Targeting Accuracy and Motion Management in the Treatment of Tumors That Move With Respiration: Lessons Learnt From a Quarter Century of Stereotactic Body Radiotherapy From Dose Response Models.

Anand Mahadevan, Bahman Emami, Jimm Grimm, Lawrence R Kleinberg, Kristin J Redmond, James S Welsh, Robert Rostock, Eric Kemmerer, Kenneth M Forster, Jason Stanford and 8 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Application of stereotactic radiotherapy in the treatment of cardiovascular diseases through sympathectomy.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Adoption of respiratory motion management in radiation therapy.Physics and imaging in radiation oncology · 2022
    Article
  7. 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

18 authors at 7 institutions in 1 country.

Anand MahadevanDepartment of Radiation Oncology, Geisinger Cancer Institute, Danville, PA, United States.
Bahman EmamiDepartment of Radiation Oncology, Loyola University Medical Center, Chicago, IL, United States.
Jimm GrimmDepartment of Radiation Oncology, Geisinger Cancer Institute, Danville, PA, United States.
Lawrence R KleinbergDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Kristin J RedmondDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
James S WelshDepartment of Radiation Oncology, Loyola University Medical Center, Chicago, IL, United States.
Robert RostockDepartment of Radiation Oncology, Geisinger Cancer Institute, Danville, PA, United States.
Eric KemmererDepartment of Radiation Oncology, Geisinger Cancer Institute, Danville, PA, United States.
Kenneth M ForsterDepartment of Radiation Oncology, Geisinger Cancer Institute, Danville, PA, United States.
Jason StanfordDepartment of Radiation Oncology, Geisinger Cancer Institute, Danville, PA, United States.
Sunjay ShahDepartment of Radiation Oncology, Helen F. Graham Cancer Center, Christiana Care Health System, Newark, DE, United States.
Sucha O AsbellDepartment of Radiation Oncology, Thomas Jefferson University, Philadelphia, PA, United States.
Tamara A LaCoutureDepartment of Radiation Oncology, Thomas Jefferson University, Philadelphia, PA, United States.
Carla ScofieldDepartment of Radiation Oncology, Geisinger Cancer Institute, Danville, PA, United States.
Ian ButterwickDepartment of Radiation Oncology, Geisinger Cancer Institute, Danville, PA, United States.
Jinyu XueDepartment of Radiation Oncology, New York University, New York City, NY, United States.
Alexander MuacevicEuropean Cyberknife Center Munich, Munich, Germany.
John R AdlerDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, United States.
Geisinger Neuroscience Institute · USJohns Hopkins University · USLoyola University Medical Center · USThomas Jefferson University · USChristiana Care Health System · USNew York University · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the long-term normal tissue complication probability with stereotactic body radiation therapy (SBRT) treatments for targets that move with respiration and its relation with the type of respiratory motion management (tracking

methodsA PubMed search was performed for identifying literature regarding dose, volume, fractionation, and toxicity (grade 3 or higher) for SBRT treatments for tumors which move with respiration. From the identified papers logistic or probit dose-response models were fitted to the data using the maximum-likelihood technique and confidence intervals were based on the profile-likelihood method in the dose-volume histogram (DVH) Evaluator.

resultsPooled logistic and probit models for grade 3 or higher toxicity for aorta, chest wall, duodenum, and small bowel suggest a significant difference when live motion tracking was used for targeting tumors with move with respiration which was on the average 10 times lower, in the high dose range.

conclusionLive respiratory motion management appears to have a better toxicity outcome when treating targets which move with respiration with very steep peripheral dose gradients. This analysis is however limited by sparsity of rigorous data due to poor reporting in the literature.

Indexed as

dose responsenormal tissue complication probabilityradiosurgerystereotactic body radiation therapytracking

Identifiers

PMID33634020
PMCPMC7900559
OpenAlexW3127154190

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.