Evidence map›Paper›PMID 34939343›Full record

Trial reportCancer medicine2022

A clinical trial to compare a 3D-printed bolus with a conventional bolus with the aim of reducing cardiopulmonary exposure in postmastectomy patients with volumetric modulated arc therapy.

Yun Zhang, Yuling Huang, Shenggou Ding, Jinghui Liang, Jie Kuang, Qingfeng Mao, Weiliang Ying, Yuxian Shu, Jingao Li, Chunling Jiang

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Review
  8. Clinical application of 3D-printed bolus in postmastectomy radiotherapy.Journal of applied clinical medical physics · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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 1 institution in 1 country.

Yun ZhangDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, PR China.ORCID 0000-0001-5075-727X
Yuling HuangDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, PR China.
Shenggou DingDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, PR China.
Jinghui LiangDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, PR China.
Jie KuangSchool of Public Health, Nanchang University, Nanchang, PR China.
Qingfeng MaoDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, PR China.
Weiliang YingDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, PR China.
Yuxian ShuDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, PR China.
Jingao LiDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, PR China.
Chunling JiangDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, PR China.
Nanchang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe compared the dosimetry, application, and acute toxicity of a 3D-printed and a conventional bolus for postmastectomy radiotherapy (PMRT) with volumetric modulated arc therapy (VMAT). Materials and Methods Eligible patients (n = 75) with PMRT breast cancer were randomly selected to receive VMAT with a conventional bolus or a 3D-printed bolus. The primary endpoint was a 10% decrease in the mean heart dose to left-sided breast cancer patients. The secondary endpoint was a 5% decrease in the mean ipsilateral lung dose to all patients. A comparative analysis was carried out of the dosimetry, normal tissue complication probability (NTCP), acute skin toxicity, and radiation pneumonitis.

resultsCompared to a conventional bolus, the mean heart dose in left-sided breast cancer was reduced by an average of 0.8 Gy (5.5 ± 1.3 Gy vs. 4.7 ± 0.8 Gy, p = 0.035) and the mean dose to the ipsilateral lung was also reduced by an average of 0.8 Gy (12.4 ± 1.0 Gy vs. 11.6 ± 0.8 Gy, p < 0.001). The values for V

conclusionsThe 3D-printed bolus may reduce cardiopulmonary exposure in postmastectomy patients with volumetric modulated arc therapy.

Indexed as

Breast NeoplasmsRadiotherapy, Intensity-ModulatedFemaleHumansMastectomyOrgans at RiskPrinting, Three-DimensionalRadiation PneumonitisRadiotherapy DosageUnilateral Breast Neoplasms3D-printed bolusdosimetrynormal tissue complication probability (NTCP)postmastectomy radiotherapy

Identifiers

PMID34939343
PMCPMC8855922
OpenAlexW4200337189

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.