Evidence map›Paper›PMID 34012810›Full record

ReviewTranslational lung cancer research2021

Tumour motion management in lung cancer: a narrative review.

Angela Botticella, Antonin Levy, Guillaume Auzac, Isabelle Chabert, Céline Berthold, Cécile Le Pechoux

Abstract readReview
In one paragraph

Review in Translational lung cancer research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

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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

6 authors.

Angela BotticellaDepartment of Radiation Oncology, Institut d'Oncologie Thoracique (IOT), Gustave Roussy, F-94805, Villejuif, France.
Antonin LevyDepartment of Radiation Oncology, Institut d'Oncologie Thoracique (IOT), Gustave Roussy, F-94805, Villejuif, France.
Guillaume AuzacDepartment of Radiation Oncology, Institut d'Oncologie Thoracique (IOT), Gustave Roussy, F-94805, Villejuif, France.
Isabelle ChabertDepartment of Radiation Oncology, Institut d'Oncologie Thoracique (IOT), Gustave Roussy, F-94805, Villejuif, France.
Céline BertholdDepartment of Radiation Oncology, Institut d'Oncologie Thoracique (IOT), Gustave Roussy, F-94805, Villejuif, France.
Cécile Le PechouxDepartment of Radiation Oncology, Institut d'Oncologie Thoracique (IOT), Gustave Roussy, F-94805, Villejuif, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Respiratory motion is one of the geometrical uncertainties that may affect the accuracy of thoracic radiotherapy in the treatment of lung cancer. Accounting for tumour motion may allow reducing treatment volumes, irradiated healthy tissue and possibly toxicity, and finally enabling dose escalation. Historically, large population-based margins were used to encompass tumour motion. A paradigmatic change happened in the last decades led to the development of modern imaging techniques during the simulation and the delivery, such as the 4-dimensional (4D) computed tomography (CT) or the 4D-cone beam CT scan, has contributed to a better understanding of lung tumour motion and to the widespread use of individualised margins (with either an internal tumour volume approach or a mid-position/ventilation approach). Moreover, recent technological advances in the delivery of radiotherapy treatments (with a variety of commercial solution allowing tumour tracking, gating or treatments in deep-inspiration breath-hold) conjugate the necessity of minimising treatment volumes while maximizing the patient comfort with less invasive techniques. In this narrative review, we provided an introduction on the intra-fraction tumour motion (in both lung tumours and mediastinal lymph-nodes), and summarized the principal motion management strategies (in both the imaging and the treatment delivery) in thoracic radiotherapy for lung cancer, with an eye on the clinical outcomes.

Indexed as

4-dimensional computed tomography (4D-CT)deep-inspiration breath-hold (DIBH)gatingLung cancermotion management

Identifiers

PMID34012810
PMCPMC8107759

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.