Evidence map›Paper›PMID 35884579›Full record

ArticleCancers2022

External Beam Accelerated Partial Breast Irradiation in Early Breast Cancer and the Risk for Radiogenic Pneumonitis.

Oliver J Ott, Wilhelm Stillkrieg, Ulrike Lambrecht, Tim-Oliver Sauer, Claudia Schweizer, Allison Lamrani, Vratislav Strnad, Carolin C Hack, Matthias W Beckmann, Michael Uder and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 43% 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

7 citing papers in PubMed, 6 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

12 authors at 1 institution in 1 country.

Oliver J OttDepartment of Radiation Oncology, Universitätsklinikum Erlangen, 91054 Erlangen, Germany.ORCID 0000-0001-5806-6158
Wilhelm StillkriegDepartment of Radiation Oncology, Universitätsklinikum Erlangen, 91054 Erlangen, Germany.
Ulrike LambrechtDepartment of Radiation Oncology, Universitätsklinikum Erlangen, 91054 Erlangen, Germany.
Tim-Oliver SauerDepartment of Radiation Oncology, Universitätsklinikum Erlangen, 91054 Erlangen, Germany.
Claudia SchweizerDepartment of Radiation Oncology, Universitätsklinikum Erlangen, 91054 Erlangen, Germany.
Allison LamraniDepartment of Radiation Oncology, Universitätsklinikum Erlangen, 91054 Erlangen, Germany.
Vratislav StrnadDepartment of Radiation Oncology, Universitätsklinikum Erlangen, 91054 Erlangen, Germany.
Carolin C HackComprehensive Cancer Center Erlangen-EMN, 91054 Erlangen, Germany.
Matthias W BeckmannComprehensive Cancer Center Erlangen-EMN, 91054 Erlangen, Germany.
Michael UderComprehensive Cancer Center Erlangen-EMN, 91054 Erlangen, Germany.
Rainer FietkauDepartment of Radiation Oncology, Universitätsklinikum Erlangen, 91054 Erlangen, Germany.ORCID 0000-0001-8295-7145
Luitpold DistelDepartment of Radiation Oncology, Universitätsklinikum Erlangen, 91054 Erlangen, Germany.ORCID 0000-0002-8040-3226
Universitätsklinikum Erlangen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In order to evaluate the risk for radiation-associated symptomatic pneumonitis in a prospective external beam accelerated partial breast irradiation (APBI) trial, between 2011 and 2021, 170 patients with early stage breast cancer were enclosed in the trial. Patients were eligible for study participation if they had a histologically confirmed breast cancer or an exclusive ductal carcinoma in situ (DCIS), a tumor size ≤3 cm, free safety margins ≥2 mm, no involved axillary lymph nodes, tumor bed clips, and were ≥50 years old. Patients received APBI with 38 Gy with 10 fractions in 10 consecutive working days. The trial was registered at the German Clinical Trials Registry, DRKS-ID: DRKS00004417. Median follow-up was 56 (1−129) months. Ipsilateral lung MLD, V20, and V30 were 4.3 ± 1.4 Gy, 3.0 ± 2.0%, and 1.0 ± 1.0%, respectively. Radiogenic pneumonitis grade 2 appeared in 1/170 (0.6%) patients two months after radiotherapy. Ipsilateral MLD, V20, and V30 were 6.1 Gy, 7, and 3% in this patient. Additionally, individual radiosensitivity was increased in this specific patient. Compared to WBI, APBI leads to lower lung doses. Using APBI, the risk of symptomatic radiogenic pneumonitis is very low and may be limited, with an ipsilateral V20 < 3% to very exceptional cases associated with innate risk factors with an increased radiation susceptibility.

Indexed as

accelerated partial breast irradiationearly breast cancerindividual radiosensitivitylung dose constraintsradiogenic pneumonitis

Identifiers

PMID35884579
PMCPMC9316541
OpenAlexW4286007929

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.