Evidence map›Paper›PMID 33957941›Full record

ArticleRadiation oncology (London, England)2021

Comparison of liver exposure in CT-guided high-dose rate (HDR) interstitial brachytherapy versus SBRT in hepatocellular carcinoma.

Franziska Walter, Lukas Nierer, Maya Rottler, Anna Sophie Duque, Helmut Weingandt, Justus Well, Roel Shpani, Guillaume Landry, Max Seidensticker, Florian Streitparth and 3 more

Open access · goldAbstract readComparative Study
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. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 26 citations in OpenAlex.

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  14. The value of brachytherapy in the age of advanced external beam radiotherapy: a review of the literature in terms of dosimetry.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2022
    Review
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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

13 authors at 1 institution in 1 country.

Franziska WalterDepartment of Radiation Oncology, University Hospital, LMU Munich, 81377, Munich, Germany. Franziska.Walter@med.uni-muenchen.de.ORCID http://orcid.org/0000-0001-7912-322X
Lukas NiererDepartment of Radiation Oncology, University Hospital, LMU Munich, 81377, Munich, Germany.
Maya RottlerDepartment of Radiation Oncology, University Hospital, LMU Munich, 81377, Munich, Germany.
Anna Sophie DuqueDepartment of Radiation Oncology, University Hospital, LMU Munich, 81377, Munich, Germany.
Helmut WeingandtDepartment of Radiation Oncology, University Hospital, LMU Munich, 81377, Munich, Germany.
Justus WellDepartment of Radiation Oncology, University Hospital, LMU Munich, 81377, Munich, Germany.
Roel ShpaniDepartment of Radiation Oncology, University Hospital, LMU Munich, 81377, Munich, Germany.
Guillaume LandryDepartment of Radiation Oncology, University Hospital, LMU Munich, 81377, Munich, Germany.
Max SeidenstickerDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Florian StreitparthDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Jens RickeDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Claus BelkaDepartment of Radiation Oncology, University Hospital, LMU Munich, 81377, Munich, Germany.
Stefanie CorradiniDepartment of Radiation Oncology, University Hospital, LMU Munich, 81377, Munich, Germany.
LMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn unresectable hepatocellular carcinoma several local ablative treatments are available. Among others, radiation based treatments such as stereotactic body radiotherapy (SBRT) and high-dose rate interstitial brachytherapy (HDR BT) have shown good local control rates.

methodsWe conducted a dose comparison between actually performed HDR BT versus virtually planned SBRT to evaluate the respective clinically relevant radiation exposure to uninvolved liver tissue. Moreover, dose coverage and conformity indices were assessed.

resultsOverall, 46 treatment sessions (71 lesions, 38 patients) were evaluated. HDR BT was applied in a single fraction with a dose prescription of 1 × 15 Gy. D98 was 17.9 ± 1.3 Gy, D50 was 41.8 ± 8.1 Gy. The SBRT was planned with a prescribed dose of 3 × 12.5 Gy (65%-Isodose), D98 was 50.7 ± 3.1 Gy, D2 was 57.0 ± 2.3 Gy, and D50 was 55.2 ± 2.3 Gy. Regarding liver exposure Vliver10Gy

conclusionHDR BT can be advantageous in respect of sparing of normal liver tissue as compared to SBRT, while providing excellent target conformity.

Indexed as

AgedBrachytherapyCarcinoma, HepatocellularFemaleHumansImage Processing, Computer-AssistedLiverLiver NeoplasmsMaleOrgans at RiskPrognosisRadiosurgeryRadiotherapy DosageRadiotherapy, Image-GuidedRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedCT-guided interstitial brachytherapyHepatocellular carcinomaStereotactic body radiotherapy

Identifiers

PMID33957941
PMCPMC8103624
OpenAlexW3159498429

What OpenQuestion holds

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Registered trials

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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.