Evidence map›Paper›PMID 35725549›Full record

ArticleBrachytherapy

Combined brachytherapy and ultra-hypofractionated radiotherapy for intermediate-risk prostate cancer: Comparison of toxicity outcomes using a high-dose-rate (HDR) versus low-dose-rate (LDR) brachytherapy boost.

Marisa A Kollmeier, Daniel Gorovets, Jessica Flynn, Sean McBride, Victoria Brennan, Joel Beaudry, Gilad Cohen, Antonio Damato, Zhigang Zhang, Michael J Zelefsky

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Brachytherapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07426055 (PRO-BOOST-LC), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.4field-weighted citation impact, top 10% 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.

NCT07426055 phase2 / phase3recruitingnot on this map

PRO-BOOST-LC: A Prospective, Multi-arm Phase II/III Clinical Trial Evaluating the Efficacy and Safety of Whole-Gland Boost Using HDR Brachytherapy, LDR Brachytherapy, or Single-Fraction SBRT Following an Ultrahypofractionated EBRT (VMAT) Backbone (5 Gy x 5 Fractions) Compared to Standard SBRT Monotherapy in Patients With Localized and Locally Advanced Prostate Cancer Staged With PSMA PET/CT

TypeinterventionalSponsorAffidea Nu-med Center of Oncological DIagnostics and TherapyRan2026 to 2035Enrolled1,000ConditionsProstate Cancer (Adenocarcinoma), Prostate Brachytherapy, Stereotactic Body Radiation Therapy (SBRT), Dose Escalation: Solid TumorsArmsStereotactic Body Radiotherapy (SBRT) Monotherapy, External Beam Radiotherapy (EBRT) Backbone, High-Dose-Rate Brachytherapy Boost, Low-Dose-Rate Brachytherapy Boost, Stereotactic Body Radiotherapy (SBRT) Boost
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Trends in brachytherapy utilization in Canada from 2011 to 2020.Physics and imaging in radiation oncology · 2026
    Article
  3. Article
  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

10 authors at 1 institution in 1 country.

Marisa A KollmeierDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY. Electronic address: kollmeim@mskcc.org.
Daniel GorovetsDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Jessica FlynnDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer, New York, NY.
Sean McBrideDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Victoria BrennanDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Joel BeaudryDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY.
Gilad CohenDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY.
Antonio DamatoDepartment of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY.
Zhigang ZhangDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY; Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer, New York, NY; Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY.
Michael J ZelefskyDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

PURPOSE/

objectiveTo compare toxicity profiles of low-dose rate (LDR) and high-dose rate (HDR) brachytherapy boost combined with ultra-hypofractionated external beam radiation therapy (UH-EBRT). MATERIALS/

methods99 patients with intermediate-risk prostate cancer underwent an HDR (n = 59) or LDR (n = 40) boost combined with UH-EBRT (5 Gy x 5) . HDR (Ir-192) was delivered a single dose (15 Gy) and LDR (Pd-103) prescription dose was 100 Gy. Median baseline IPSS was 5 for both cohorts. Median follow-up was 29.3mos. Cumulative incidences were calculated for toxicity. Fisher exact tests were used to evaluate associations.

resultsOverall incidence of grade 2 genitourinary toxicity for the entire cohort at 12 and 24 months was 21% and 29%, respectively. The incidence of grade 2 genitourinary toxicity at 12 and 24 months was higher for LDR cohort compared with HDR cohort (45% vs 5.1% and 55% vs 11%; p<0.001). On MVA, only treatment regimen (LDR versus HDR) was associated with grade 2+ genitourinary toxicity (p<0.001). Two patients experienced grade 2 rectal toxicity in each cohort. No grade > 3 toxicities were observed.

conclusionsBoth LDR and HDR brachytherapy combined with UH-EBRT had favorable toxicity profiles, but significantly less grade 2+ genitourinary toxicity was observed in patients receiving HDR.

Indexed as

BrachytherapyProstatic NeoplasmsHumansMalePalladiumRadioisotopesRadiotherapy DosagePalladiumPalladium-103RadioisotopesGu toxicityHDR brachytherapyLDR brachytherapyStereotactic radiotherapyUltra-hypofractionated external beam radiotherapy

Identifiers

PMID35725549
PMCPMC10372465
OpenAlexW4283068067

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.