Evidence map›Paper›PMID 34231708›Full record

ArticleClinics (Sao Paulo, Brazil)

Effect of tumor and normal lung volumes on the lung volume-dose parameters of IMRT in non-small-cell lung cancer.

Xi Zou, Linzhen Lan, Lijing Zheng, Jinmei Chen, Feibao Guo, Chuanshu Cai, Jinsheng Hong, Weijian Zhang

Open access · goldAbstract read
In one paragraph

Article in Clinics (Sao Paulo, Brazil). 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 49% 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, 2 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

8 authors at 2 institutions in 1 country.

Xi ZouDepartment of Radiotherapy, Cancer Center, First Affiliated Hospital of Fujian Medical University, Taijiang District, Fuzhou City, Fujian Province, 350005, China.ORCID http://orcid.org/0000-0001-6530-6076
Linzhen LanDepartment of Radiotherapy, Cancer Center, First Affiliated Hospital of Fujian Medical University, Taijiang District, Fuzhou City, Fujian Province, 350005, China.ORCID http://orcid.org/0000-0002-9610-5442
Lijing ZhengDepartment of Oncology, Fujian Provincial Hospital, Gulou District, Fuzhou City, Fujian Province, 350005, China.ORCID http://orcid.org/0000-0002-7820-1377
Jinmei ChenDepartment of Radiotherapy, Cancer Center, First Affiliated Hospital of Fujian Medical University, Taijiang District, Fuzhou City, Fujian Province, 350005, China.ORCID http://orcid.org/0000-0003-0981-760X
Feibao GuoDepartment of Radiotherapy, Cancer Center, First Affiliated Hospital of Fujian Medical University, Taijiang District, Fuzhou City, Fujian Province, 350005, China.ORCID http://orcid.org/0000-0002-0376-5944
Chuanshu CaiDepartment of Radiotherapy, Cancer Center, First Affiliated Hospital of Fujian Medical University, Taijiang District, Fuzhou City, Fujian Province, 350005, China.ORCID http://orcid.org/0000-0002-0085-7157
Jinsheng HongDepartment of Radiotherapy, Cancer Center, First Affiliated Hospital of Fujian Medical University, Taijiang District, Fuzhou City, Fujian Province, 350005, China.ORCID http://orcid.org/0000-0003-2736-7112
Weijian ZhangDepartment of Radiotherapy, Cancer Center, First Affiliated Hospital of Fujian Medical University, Taijiang District, Fuzhou City, Fujian Province, 350005, China.ORCID http://orcid.org/0000-0002-0928-5466
Fujian Medical University · CNFujian Provincial People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the effect of tumor and normal lung volumes on lung volume-dose parameters in patients with non-small-cell lung cancer (NSCLC) who had undergone intensity-modulated radiation therapy (IMRT).

methodsThe clinical data of 208 patients with NSCLC who underwent radical IMRT between June 2014 and June 2018 were retrospectively analyzed. A regression model curve was used to evaluate the effect of tumor and normal lung volumes on normal lung relative volumes receiving greater than 5 and 20 Gy (V5, V20), on mean lung dose (MLD), and on absolute volumes spared from greater than 5 and 20 Gy (AVS5, AVS20).

resultsThe V5, V20, and MLD of the bilateral lung were fitted to a quadratic equation curve with the change in tumor volume, which increased initially and then decreased when the tumor volume increased. The V5, V20, and MLD of the lung reached their apex when the tumor volumes were 288.07, 341.69, and 326.83 cm3, respectively. AVS5 and AVS20 decreased in a logarithmic curve with an increase in tumor volume. The V5, V20, and MLD of the small normal lung volume group were all significantly higher than those of the large normal lung volume group (p<0.001, p=0.004, p=0.002). However, the AVS5 and AVS20 of the small normal lung volume group were all significantly lower than those of the large normal lung volume group (p<0.001).

conclusionThe effects of tumor volume and normal lung volume on dose-volume parameters should be considered. AVS5 is an important supplementary dose limitation parameter for patients whose tumor volume exceeds a certain boundary value (approximately 300 cm3).

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsRadiotherapy, Intensity-ModulatedHumansLungLung Volume MeasurementsRadiotherapy DosageRetrospective Studies

Identifiers

PMID34231708
PMCPMC8240768
OpenAlexW3176401320

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.