Evidence map›Paper›PMID 34351451›Full record

ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2022

Types of deviation and review criteria in pretreatment central quality control of tumor bed boost in medulloblastoma-an analysis of the German Radiotherapy Quality Control Panel in the SIOP PNET5 MB trial.

Stefan Dietzsch, Annett Braesigk, Clemens Seidel, Julia Remmele, Ralf Kitzing, Tina Schlender, Martin Mynarek, Dirk Geismar, Karolina Jablonska, Rudolf Schwarz and 15 more

Abstract read
In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
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

25 authors.

Stefan DietzschDepartment of Radiation Oncology, University of Leipzig Medical Center, Stephanstr. 9a, 04103, Leipzig, Germany. stefan.dietzsch@medizin.uni-leipzig.de.ORCID http://orcid.org/0000-0001-6141-2170
Annett BraesigkDepartment of Radiation Oncology, University of Leipzig Medical Center, Stephanstr. 9a, 04103, Leipzig, Germany.
Clemens SeidelDepartment of Radiation Oncology, University of Leipzig Medical Center, Stephanstr. 9a, 04103, Leipzig, Germany.
Julia RemmeleDepartment of Radiation Oncology, University of Leipzig Medical Center, Stephanstr. 9a, 04103, Leipzig, Germany.
Ralf KitzingDepartment of Radiation Oncology, University of Leipzig Medical Center, Stephanstr. 9a, 04103, Leipzig, Germany.
Tina SchlenderDepartment of Radiation Oncology, University of Leipzig Medical Center, Stephanstr. 9a, 04103, Leipzig, Germany.
Martin MynarekDepartement of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Dirk GeismarClinic for Particle Therapy, West German Proton Therapy Centre, University of Essen, Essen, Germany.
Karolina JablonskaFaculty of Medicine, Department of Radiation Oncology, University of Cologne, Cologne, Germany.
Rudolf SchwarzDepartment of Radiation Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Montserrat PazosDepartment of Radiotherapy and Radiation Oncology, Ludwig Maximilian University Munich, Munich, Germany.
Damien C WeberCenter for Protontherapy, Paul Scherrer Institute, Villigen, Switzerland.
Silke FrickDepartment of Radiotherapy and Radiation Oncology, Hospital Bremen Mitte, Bremen, Germany.
Kristin GurtnerDepartment of Radiotherapy and Radiation Oncology, Faculty of Medicine and University Hospital, Carl Gustav Carus, Technical University Dresden, Dresden, Germany.
Christiane MatuschekDepartment of Radiation Oncology, Medical Faculty Heinrich Heine University Duesseldorf, Duesseldorf, Germany.
Semi Ben HarrabiDepartment of Radiation Oncology and Radiotherapy, Heidelberg University Hospital, Heidelberg, Germany.
Albrecht GlückRadiation Oncology, Munich-Schwabing Municipal Hospital, Munich, Germany.
Victor LewitzkiDepartment of Radiotherapy, University of Wuerzburg, Wuerzburg, Germany.
Karin DieckmannDepartment of Radiotherapy, Medical University of Vienna, Vienna, Austria.
Martin BeneschDivision of Pediatric Hematology/Oncology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.
Nicolas U GerberDepartment of Oncology, University Children's Hospital, Zurich, Switzerland.
Denise ObrechtDepartement of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Stefan RutkowskiDepartement of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Beate TimmermannClinic for Particle Therapy, West German Proton Therapy Centre, University of Essen, Essen, Germany.
Rolf-Dieter KortmannDepartment of Radiation Oncology, University of Leipzig Medical Center, Stephanstr. 9a, 04103, Leipzig, Germany.

Funding

Deutsche Kinderkrebsstiftung DKS2013.15Deutsche Kinderkrebsstiftung DKS2014.18Deutsche Kinderkrebsstiftung DKS2016.01ADeutsche Kinderkrebsstiftung DKS2018.04
6 · The paper itself

Abstract

purposeIn Germany, Austria, and Switzerland, pretreatment radiotherapy quality control (RT-QC) for tumor bed boost (TB) in non-metastatic medulloblastoma (MB) was not mandatory but was recommended for patients enrolled in the SIOP PNET5 MB trial between 2014 and 2018. This individual case review (ICR) analysis aimed to evaluate types of deviations in the initial plan proposals and develop uniform review criteria for TB boost. PATIENTS AND

methodsA total of 78 patients were registered in this trial, of whom a subgroup of 65 patients were available for evaluation of the TB treatment plans. Dose uniformity was evaluated according to the definitions of the protocol. Additional RT-QC criteria for standardized review of target contours were elaborated and data evaluated accordingly.

resultsOf 65 initial TB plan proposals, 27 (41.5%) revealed deviations of target volume delineation. Deviations according to the dose uniformity criteria were present in 14 (21.5%) TB plans. In 25 (38.5%) cases a modification of the RT plan was recommended. Rejection of the TB plans was rather related to unacceptable target volume delineation than to insufficient dose uniformity.

conclusionIn this analysis of pretreatment RT-QC, protocol deviations were present in a high proportion of initial TB plan proposals. These findings emphasize the importance of pretreatment RT-QC in clinical trials for MB. Based on these data, a proposal for RT-QC criteria for tumor bed boost in non-metastatic MB was developed.

Indexed as

Cerebellar NeoplasmsMedulloblastomaRadiation OncologyGermanyHumansQuality ControlRadiotherapy Planning, Computer-AssistedBrain tumorFocal radiotherapyIndividual case reviewPediatricQuality assurance

Identifiers

PMID34351451
PMCPMC8863746

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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.