Evidence map›Paper›PMID 34996946›Full record

ArticleScientific reports2022

A computational modeling approach for dosing endoscopic intratumoral chemotherapy for advanced non-small cell lung cancer.

Vitor Mori, Jason H T Bates, Michael Jantz, Hiren J Mehta, C Matthew Kinsey

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Interventional bronchoscopy in lung cancer treatment.Breathe (Sheffield, England) · 2024
    Review
  5. Article
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  7. Review
  8. Article
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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

5 authors at 2 institutions in 1 country.

Vitor MoriDivision of Pulmonary and Critical Care, University of Vermont Medical Center, 89 Beaumont Avenue, Given D208, Burlington, VT, 05401, USA.
Jason H T BatesDivision of Pulmonary and Critical Care, University of Vermont Medical Center, 89 Beaumont Avenue, Given D208, Burlington, VT, 05401, USA.
Michael JantzDivision of Pulmonary and Critical Care, University of Florida, Gainesville, FL, USA.
Hiren J MehtaDivision of Pulmonary and Critical Care, University of Florida, Gainesville, FL, USA.
C Matthew KinseyDivision of Pulmonary and Critical Care, University of Vermont Medical Center, 89 Beaumont Avenue, Given D208, Burlington, VT, 05401, USA. Matt.Kinsey@med.uvm.edu.
University of Vermont Medical Center · USUniversity of Florida · US

Funding

Damon Runyon Cancer Research Foundation DRQ-0620
6 · The paper itself

Abstract

We recently developed a computational model of cisplatin pharmacodynamics in an endobronchial lung tumor following ultrasound-guided transbronchial needle injection (EBUS-TBNI). The model suggests that it is more efficacious to apportion the cisplatin dose between injections at different sites rather than giving it all in a single central injection, but the model was calibrated only on blood cisplatin data from a single patient. Accordingly, we applied a modified version of our original model in a set of 32 patients undergoing EBUS-TBNI for non-small cell lung cancer (NSCLC). We used the model to predict clinical responses and compared them retrospectively to actual patient outcomes. The model correctly predicted the clinical response in 72% of cases, with 80% accuracy for adenocarcinomas and 62.5% accuracy for squamous-cell lung cancer. We also found a power-law relationship between tumor volume and the minimal dose needed to induce a response, with the power-law exponent depending on the number of injections administered. Our results suggest that current injection strategies may be significantly over- or under-dosing the agent depending on tumor size, and that computational modeling can be a useful planning tool for EBUS-TBNI of cisplatin in lung cancer.

Indexed as

Antineoplastic AgentsCarcinoma, Non-Small-Cell LungCell Line, TumorCisplatinComputer SimulationEndoscopic Ultrasound-Guided Fine Needle AspirationFemaleForecastingHumansInhibitory Concentration 50Injections, IntralesionalLung NeoplasmsMaleMiddle AgedRetrospective StudiesTreatment OutcomeAntineoplastic AgentsCisplatin

Identifiers

PMID34996946
PMCPMC8741990
OpenAlexW4205857083

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.