Evidence map›Paper›PMID 35691760›Full record

Trial reportClinical oncology (Royal College of Radiologists (Great Britain))2022

Mapping Local Failure Following Bladder Radiotherapy According to Dose.

H Abdel-Aty, K Warren-Oseni, S Bagherzadeh-Akbari, V N Hansen, K Jones, V Harris, M P Tan, D Mcquaid, H A McNair, R Huddart and 2 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical oncology (Royal College of Radiologists (Great Britain)), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

12 authors.

H Abdel-AtyDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK; Department of Radiotherapy, The Royal Marsden NHS Foundation Trust, London, UK.
K Warren-OseniJoint Department of Physics, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, UK.
S Bagherzadeh-AkbariJoint Department of Physics, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, UK.
V N HansenDepartment of Oncology, Section of Radiotherapy, Rigshospitalet, Copenhagen, Denmark.
K JonesDepartment of Radiotherapy, The Royal Marsden NHS Foundation Trust, London, UK.
V HarrisDepartment of Radiotherapy, Guy's & St. Thomas' NHS Foundation Trust, London, UK.
M P TanDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK; Department of Radiotherapy, The Royal Marsden NHS Foundation Trust, London, UK.
D McquaidJoint Department of Physics, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, UK.
H A McNairDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK; Department of Radiotherapy, The Royal Marsden NHS Foundation Trust, London, UK.
R HuddartDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK; Department of Radiotherapy, The Royal Marsden NHS Foundation Trust, London, UK.
A DunlopJoint Department of Physics, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, UK.
S HafeezDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK; Department of Radiotherapy, The Royal Marsden NHS Foundation Trust, London, UK. Electronic address: shaista.hafeez@icr.ac.uk.

Funding

Cancer Research UK 19727Cancer Research UK C33589/A19727Cancer Research UK C33589/A28284Department of Health ICA-SCL-2018-04-ST2-002
6 · The paper itself

Abstract

aimsTo determine the relationship between local relapse following radical radiotherapy for muscle-invasive bladder cancer (MIBC) and radiation dose. MATERIALS AND

methodsPatients with T2-4N0-3M0 MIBC were recruited to a phase II study assessing the feasibility of intensity-modulated radiotherapy to the bladder and pelvic lymph nodes. Patients were planned to receive 64 Gy/32 fractions to the bladder tumour, 60 Gy/32 fractions to the involved pelvic nodes and 52 Gy/32 fractions to the uninvolved bladder and pelvic nodes. Pre-treatment set-up was informed by cone-beam CT. For patients who experienced local relapse, cystoscopy and imaging (CT/MRI) was used to reconstruct the relapse gross tumour volume (GTV

resultsBetween June 2009 and November 2012, 38 patients were recruited. Following treatment, 18/38 (47%) patients experienced local relapse within the bladder. The median time to local relapse was 9.0 months (95% confidence interval 6.3-11.7). Seventeen of 18 patients were evaluable based on the availability of cross-sectional relapse imaging. A significant difference between DIR and RIR methods was seen. With the DIR approach, the median GTV

conclusionRelapse following radiotherapy occurred within close proximity to the original bladder tumour volume and within the planned high-dose region, suggesting possible biological causes for failure. We advise caution when considering margin reduction for future reduced high-dose radiation volume or partial bladder radiotherapy protocols.

Indexed as

Radiotherapy, Intensity-ModulatedUrinary Bladder NeoplasmsCross-Sectional StudiesHumansNeoplasm Recurrence, LocalRadiotherapy DosageRadiotherapy Planning, Computer-AssistedUrinary BladderBladder cancer radiotherapydeformable registrationIMRTpatterns of local failure

Identifiers

PMID35691760
PMCPMC9515812

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.