Evidence map›Paper›PMID 36176484›Full record

ArticleHepatic oncology2022

Pathological complete response with immunotherapy and brachytherapy to 15 metastatic liver lesions in a single patient.

Gokula Kumar Appalanaido, Muhamad Zabidi Ahmad, Syadwa Abdul Shukor, Alex Khoo Cheen Hoe, Manisekar K Subramaniam, Ang Soo Fan, Mohd Zahri Abdul Aziz

Open access · goldAbstract read
In one paragraph

Article in Hepatic oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 52% 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

3 citing papers in PubMed, 1 citations in OpenAlex.

  1. Review
  2. Brachytherapy: Perspectives for combined treatments with immunotherapy.Clinical and translational radiation oncology · 2025
    Review
  3. 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

7 authors at 5 institutions in 2 countries.

Gokula Kumar AppalanaidoAdvanced Medical & Dental Institute, Universiti Sains Malaysia, Penang, Malaysia.ORCID https://orcid.org/0000-0002-6763-0942
Muhamad Zabidi AhmadAdvanced Medical & Dental Institute, Universiti Sains Malaysia, Penang, Malaysia.ORCID https://orcid.org/0000-0002-4000-5880
Syadwa Abdul ShukorDepartment of Radiation Oncology, National University Cancer Institute, Singapore.ORCID https://orcid.org/0000-0003-0539-0266
Alex Khoo Cheen HoeNuclear Medicine Department, Penang Adventist Hospital, Penang, Malaysia.ORCID https://orcid.org/0000-0002-8965-032X
Manisekar K SubramaniamDepartment of Surgery, Hospital Sultanah Bahiyah, Alor Star, Malaysia.
Ang Soo FanDepartment of Medical Oncology, National Cancer Centre Singapore, Singapore.
Mohd Zahri Abdul AzizAdvanced Medical & Dental Institute, Universiti Sains Malaysia, Penang, Malaysia.ORCID https://orcid.org/0000-0002-8150-925X
Universiti Sains Malaysia · MYHospital Sultanah Bahiyah · MYNational Cancer Centre Singapore · SGNational University Cancer Institute, Singapore · SGPenang Adventist Hospital · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Materials & methods: High dose rate interstitial brachytherapy (HDR-IBT) treatment plan for 15 metastatic liver lesions in a patient with pancreatic cancer was retrieved and analyzed for liver dose parameters and diaphragm dose. Serial Results: Left liver lobe volume increased from 241 cm Discussion: This is the largest reported series of HDR-IBT to liver lesions in a single patient. This first ever reported combined treatment of immunotherapy (IT) and HDR-IBT had likely rendered this patient disease free both at local the liver and systemically. Metabolic CR by PET-CT can be seen as early as 46 days after HDR-IBT. Diaphragm can tolerate very high doses of radiation and repeated treatment. Conclusion: In this patient HDR-IBT for multiple liver lesions with IT is well tolerated. PET-CT can be used for response assessment of HDR-IBT liver. Synergistic effect of IT with HDR-IBT and it's role as bridging for liver resection has clinical potential and should be further studied in prospective trials.

Indexed as

brachytherapy and immunotherapydiaphragm radiation toleranceHDRIBT liverliver brachytherapyPet-CT for brachytherapy response

Identifiers

PMID36176484
PMCPMC9517960
OpenAlexW4297372073

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.