Evidence map›Paper›PMID 35647397›Full record

ArticleAdvances in radiation oncology

Intensity Modulated Proton Therapy for Bilateral Breast or Chest Wall and Comprehensive Nodal Irradiation for Synchronous Bilateral Breast Cancer: Initial Clinical Experience and Dosimetric Comparison.

Allison E Garda, Ashley E Hunzeker, Ann K Michel, Sayeh Fattahi, Satomi Shiraishi, Nicholas B Remmes, Heather L Schultz, W Scott Harmsen, Dean A Shumway, Elizabeth S Yan and 3 more

Open access · goldAbstract 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
0.8field-weighted citation impact, top 35% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

13 authors at 1 institution in 1 country.

Allison E GardaDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.
Ashley E HunzekerDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.
Ann K MichelDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.
Sayeh FattahiMayo Clinic Alix School of Medicine, Rochester, Minnesota.
Satomi ShiraishiDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.
Nicholas B RemmesDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.
Heather L SchultzDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.
W Scott HarmsenDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota.
Dean A ShumwayDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.
Elizabeth S YanDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.
Sean S ParkDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.
Robert W MutterDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.
Kimberly S CorbinDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.
Mayo Clinic · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
NCI NIH HHS P30 CA015083
6 · The paper itself

Abstract

Purpose: Synchronous bilateral breast cancer (SBBC) poses distinct challenges for radiation therapy planning. We report our proton therapy experience in treating patients with SBBC. We also provide a dosimetric comparison of intensity modulated proton therapy (IMPT) versus photon therapy. Methods and Materials: Patients with SBBC who received IMPT at our institution were retrospectively analyzed. The clinical target volume (CTV) included the breast or chest wall and comprehensive regional lymph nodes, including axilla, supraclavicular fossa, and the internal mammary chain. Intensity modulated proton therapy and volumetric modulated arc therapy (VMAT) plans were generated with the goal that 90% of the CTV would recieve at least 90% of the prescription dose (D90>=90%). Comparisons between modalities were made using the Wilcoxon signed rank test. Physician-reported acute toxic effects and photography were collected at baseline, end of treatment, and each follow-up visit. Results: Between 2015 and 2018, 11 patients with SBBC were treated with IMPT. The prescription was 50 Gy in 25 fractions. The median CTV D90 was 99.9% for IMPT and 97.6% for VMAT ( Conclusions: Bilateral breast and/or chest wall and comprehensive nodal IMPT is technically feasible and associated with low rates of severe acute toxic effects. Treatment with IMPT offered improved target coverage and normal-tissue sparing compared with photon therapy. Long-term follow-up is ongoing to assess efficacy and toxic effects.

Identifiers

PMID35647397
PMCPMC9133394
OpenAlexW4206999150

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.