Evidence map›Paper›PMID 34778080›Full record

ArticleFrontiers in oncology2021

Dosimetric Comparison of Upfront Boosting With Stereotactic Radiosurgery Versus Intraoperative Radiotherapy for Glioblastoma.

Gustavo R Sarria, Zuzanna Smalec, Thomas Muedder, Jasmin A Holz, Davide Scafa, David Koch, Stephan Garbe, Matthias Schneider, Motaz Hamed, Hartmut Vatter and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02685605 (A Multicenter Randomized Phase III Trial on INTraoperative RAdiotherapy in Newly Diagnosed GliOblastoma Multiforme), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% 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.

NCT02685605 phase3active not recruitingnot on this map

A Multicenter Randomized Phase III Trial on INTraoperative RAdiotherapy in Newly Diagnosed GliOblastoma Multiforme (INTRAGO II)

TypeinterventionalSponsorUniversitätsmedizin MannheimRan2016 to 2026Enrolled314ConditionsGlioblastomaArmsStandard surgery, Intraoperative radiotherapy, Radiochemotherapy, Temozolomide
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Review
  5. Review
  6. 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

13 authors at 1 institution in 1 country.

Gustavo R SarriaDepartment of Radiation Oncology, University Hospital Bonn, Bonn, Germany.
Zuzanna SmalecDepartment of Radiation Oncology, University Hospital Bonn, Bonn, Germany.
Thomas MuedderDepartment of Radiation Oncology, University Hospital Bonn, Bonn, Germany.
Jasmin A HolzDepartment of Radiation Oncology, University Hospital Bonn, Bonn, Germany.
Davide ScafaDepartment of Radiation Oncology, University Hospital Bonn, Bonn, Germany.
David KochDepartment of Radiation Oncology, University Hospital Bonn, Bonn, Germany.
Stephan GarbeDepartment of Radiation Oncology, University Hospital Bonn, Bonn, Germany.
Matthias SchneiderDepartment of Neurosurgery, University Hospital Bonn, Bonn, Germany.
Motaz HamedDepartment of Neurosurgery, University Hospital Bonn, Bonn, Germany.
Hartmut VatterDepartment of Neurosurgery, University Hospital Bonn, Bonn, Germany.
Ulrich HerrlingerDepartment of Neurology, Division of Neuro-Oncology, University Hospital Bonn, Bonn, Germany.
Frank A GiordanoDepartment of Radiation Oncology, University Hospital Bonn, Bonn, Germany.
Leonard Christopher SchmeelDepartment of Radiation Oncology, University Hospital Bonn, Bonn, Germany.
University Hospital Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo simulate and analyze the dosimetric differences of intraoperative radiotherapy (IORT) or pre-operative single-fraction stereotactic radiosurgery (SRS) in addition to post-operative external beam radiotherapy (EBRT) in Glioblastoma (GB).

methodsImaging series of previously treated patients with adjuvant radiochemotherapy were analyzed. For SRS target definition, pre-operative MRIs were co-registered to planning CT scans and a pre-operative T1-weighted gross target volume (GTV) plus a 2-mm planning target volume (PTV) were created. For IORT, a modified (m)GTV was expanded from the pre-operative volume, in order to mimic a round cavity as during IORT. Dose prescription was 20 Gy, homogeneously planned for SRS and calculated at the surface for IORT, to cover 99% and 90% of the volumes, respectively. For tumors > 2cm in maximum diameter, a 15 Gy dose was prescribed. Plan assessment was performed after calculating the 2-Gy equivalent doses (EQD2) for both boost modalities and including them into the EBRT plan. Main points of interest encompass differences in target coverage, brain volume receiving 12 Gy or more (V

resultsSeventeen pre-delivered treatment plans were included in the study. The mean GTV was 21.72 cm

conclusionDose escalation for Glioblastoma using IORT results in lower OAR exposure as conventional SRS.

Indexed as

dose escalationglioblastomaIORTkilovoltageSRS

Identifiers

PMID34778080
PMCPMC8581360
OpenAlexW3211256216

What OpenQuestion holds

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Registered trials

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.