Evidence map›Paper›PMID 33722782›Full record

ArticlePractical radiation oncology

Superior Postimplant Dosimetry Achieved Using Dynamic Intraoperative Dosimetry for Permanent Prostate Brachytherapy.

Tanmay Singh, Junghoon Lee, Marianna Zahurak, Hee Joon Bae, Tamey Habtu, Robert Hobbs, Yi Le, Everette C Burdette, Daniel Y Song

Open access · greenAbstract read
In one paragraph

Article in Practical radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 52% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Review
  2. 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

9 authors at 4 institutions in 1 country.

Tanmay SinghDepartments of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Junghoon LeeDepartments of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Marianna ZahurakDepartments of Oncology, Biostatistics and Bioinformatics Division, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Hee Joon BaeDepartment of Radiation Oncology, University of Maryland School of Medicine, Baltimore, Maryland.
Tamey HabtuMerit Health Leadership Academy, Baltimore, Maryland.
Robert HobbsDepartments of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Yi LeDepartment of Radiation Oncology, Indiana University, Bloomington, Indiana.
Everette C BurdetteAcoustic Medsystems, Savoy, Illinois.
Daniel Y SongDepartments of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: kerma99@gmail.com.
Johns Hopkins University · USAcoustic MedSystems (United States) · USIndiana University Bloomington · USUniversity of Maryland, Baltimore · US

Funding

PET-determined prostate brachytherapy dosing using intraoperative image-guidanceR01CA151395 · NCI · JOHNS HOPKINS UNIVERSITY · PI BURDETTE, EVERETTE C, LEE, JUNGHOON · 2010 to 2022
$4.8M
NCI NIH HHS R01 CA151395
6 · The paper itself

Abstract

purposeLow-dose-rate brachytherapy is a highly effective treatment modality for prostate carcinoma, but postimplant dosimetry quality is essential and correlated with likelihood of treatment success. Registered ultrasound and fluoroscopy (iRUF) can facilitate real-time intraoperative monitoring and plan adaptation, with the aim of attaining superior dosimetric outcomes. The purpose of this research was to compare clinical postimplant dosimetric results of iRUF-guided brachytherapy against brachytherapy using standard ultrasound-guided intraoperative dosimetry methods. METHODS AND MATERIALS: We analyzed postimplant dosimetry in 292 patients treated with Pd-103 between January 2007 and December 2018. All patients had postimplant dosimetry measured on day 0 to 1 using fused magnetic resonance/computed tomography assessment. Fifty-two patients were treated in 2 prospective clinical trials using iRUF intraoperative dosimetry, including 6 patients in a pilot study and 46 treated in a phase 2 study. Postimplant dosimetry in iRUF-treated patients was compared with dosimetry from 240 patients treated using standard (real-time ultrasound) intraoperative seed tracking.

resultsFor every parameter measuring dose coverage to the prostate, iRUF patients had significantly higher values, irrespective of adjustment for year of treatment. In adjusted analyses, parameters of dose to urethra and rectum were not significantly higher among iRUF-treated patients.

conclusionsUse of iRUF intraoperative dosimetry was associated with improved postimplant dose coverage in prostate, without associated increases in doses to urethra or rectum.

Indexed as

BrachytherapyProstatic NeoplasmsHumansMalePalladiumPilot ProjectsProspective StudiesProstateRadioisotopesRadiotherapy DosagePalladiumPalladium-103Radioisotopes

Identifiers

PMID33722782
PMCPMC8260444
OpenAlexW3136715033

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.