Evidence map›Paper›PMID 34117284›Full record

ArticleScientific reports2021

Feasibility study on stereotactic radiotherapy for total pulmonary vein isolation in a canine model.

Ji Hyun Chang, Myung-Jin Cha, Jeong-Wook Seo, Hak Jae Kim, So-Yeon Park, Byoung Hyuck Kim, Euijae Lee, Moo-Kang Kim, Hye-Sun Yoon, Seil Oh

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Incidence of new-onset atrial fibrillation after thoracic radiotherapy in non-small cell lung cancer: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
  2. Pooled it
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  6. 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

10 authors at 6 institutions in 1 country.

Ji Hyun ChangDepartment of Radiation Oncology, Seoul National University Hospital, Seoul, Korea.
Myung-Jin ChaDivision of Cardiology, Heart Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mjcha@amc.seoul.kr.
Jeong-Wook SeoDepartment of Pathology, Seoul National University Hospital, Seoul, Republic of Korea.
Hak Jae KimDepartment of Radiation Oncology, Seoul National University Hospital, Seoul, Korea.
So-Yeon ParkDepartment of Radiation Oncology, Veterans Health Service Medical Center, Seoul, Korea.
Byoung Hyuck KimDepartment of Radiation Oncology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.
Euijae LeeDivision of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea.
Moo-Kang KimDivision of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Hye-Sun YoonDivision of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Seil OhDivision of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Seoul National University Hospital · KRSejong General Hospital · KRSeoul National University · KRSNUH SMG-SNU Boramae Medical Center · KRUlsan College · KRVeterans Health Service Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We tested the feasibility of pulmonary vein (PV) and left atrial (LA) posterior wall isolation using non-invasive stereotactic ablative body radiotherapy (SABR) and investigated pathological changes in irradiated lesions in a canine model. Seven male Mongrel dogs received single-fraction 33 Gy SABR. We designed the en-bloc circular target of total PVs and LA posterior wall to avoid the esophagus. The circular box lesion included the LA roof and ridge, low posterior wall, and posterior interatrial septum. At 6 weeks or 4 months post-SABR, electrical isolation of the SABR lesion was confirmed using LA posterior wall pacing, and histopathological review was performed. Electrical isolation of all PVs and the LA posterior wall was achieved in three of five dogs in the 4-month group. There was one target failure and one sudden death at 15 weeks. Although two dogs in the 6-week group failed to achieve electrical lesion isolation, the irradiated atrial myocardium showed diffuse hemorrhage with inflammatory cell infiltration. In successfully isolated 4-month model dogs, we observed transmural fibrotic scarring with extensive fibrosis on irradiated atrial tissue. The findings suggest that this novel circular box-design radiotherapy technique using SABR could be applied to humans after further studies are conducted to confirm safety.

Indexed as

AnimalsAtrial FibrillationDisease Models, AnimalDogsFeasibility StudiesMaleModels, AnimalPulmonary VeinsRadiosurgeryTomography, X-Ray Computed

Identifiers

PMID34117284
PMCPMC8196028
OpenAlexW3168692571

What OpenQuestion holds

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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.