Evidence map›Paper›PMID 34805623›Full record

ArticleAdvances in radiation oncology

Dosimetric Uncertainties in Dominant Intraprostatic Lesion Simultaneous Boost Using Intensity Modulated Proton Therapy.

Jun Zhou, Xiaofeng Yang, Chih-Wei Chang, Sibo Tian, Tonghe Wang, Liyong Lin, Yinan Wang, James Robert Janopaul-Naylor, Pretesh Patel, John D Demoor and 6 more

Abstract read
In one paragraph

Article in Advances in radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Deep learning-based Fast Volumetric Image Generation for Image-guided Proton Radiotherapy.IEEE transactions on radiation and plasma medical sciences · 2024
    Article
  4. Article
  5. Article
  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

16 authors.

Jun ZhouDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.
Xiaofeng YangDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.
Chih-Wei ChangDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.
Sibo TianDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.
Tonghe WangDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.
Liyong LinDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.
Yinan WangDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.
James Robert Janopaul-NaylorDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.
Pretesh PatelDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.
John D DemoorDepartment of Medical Physics, Georgia Institute of Technology, Atlanta, Georgia.
Duncan BohannonDepartment of Medical Physics, Georgia Institute of Technology, Atlanta, Georgia.
Alex StanforthDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.
Bree EatonDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.
Mark W McDonaldDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.
Tian LiuDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.
Sagar Anil PatelDepartment of Radiation Oncology, Emory University, Atlanta, Georgia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWhile intensity modulated proton therapy can deliver simultaneous integrated boost (SIB) to the dominant intraprostatic lesion (DIL) with high precision, it is sensitive to anatomic changes. We investigated the dosimetric effects from these changes based on pretreatment cone-beam computed tomographic (CBCT) images and identified the most important factors using a multilayer perceptron neural network (MLPNN). METHODS AND MATERIALS: DILs were contoured based on coregistered multiparametric magnetic resonance images for 25 previously treated prostate cancer patients. SIB plans were created with (1) prostate clinical target volume - V70 Gy = 98%; (2) DIL - V98 Gy > 95%; and (3) all organs at risk (OARs)"?> within clinical constraints. SIB plans were applied to daily CBCT-based deformed planning computed tomography (CT)"?>. DIL - V98 Gy, bladder/rectum maximum dose (Dmax) and volume changes, femur shifts, and the distance from DIL to organs at riskOARs"?> in both planning computed tomogramsCT"?> and CBCT were calculated. Wilcoxon signed-ranks tests were used to compare the changes. MLPNNs were used to model the change in ΔDIL - V98 Gy > 10% and bladder/rectum Dmax > 80 Gy, and the relative importance factors for the model were provided. The performances of the models were evaluated with receiver operating characteristic curves.

resultsComparing initial plan to the average from evaluation plans, respectively, DIL - V98 Gy was 89.3% ± 19.9% versus 86.2% ± 21.3% (

conclusionsDosimetric changes in DIL SIB with intensity modulated proton therapy can be modeled and classified based on anatomic changes on pretreatment images by an MLPNN.

Identifiers

PMID34805623
PMCPMC8581277

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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.