Evidence map›Paper›PMID 36702503›Full record

ArticleAJNR. American journal of neuroradiology2023

The Impact of Interactive MRI-Based Radiologist Review on Radiotherapy Target Volume Delineation in Head and Neck Cancer.

D Adjogatse, I Petkar, M Reis Ferreira, A Kong, M Lei, C Thomas, S F Barrington, C Dudau, P Touska, T Guerrero Urbano and 1 more

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  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

11 authors at 5 institutions in 5 countries.

D AdjogatseFrom the Departments of Oncology (D.A., I.P., M.R.F., A.K., M.L., T.G.U.) Delali.adjogatse@gstt.nhs.uk.ORCID 0000-0002-1921-5437
I PetkarFrom the Departments of Oncology (D.A., I.P., M.R.F., A.K., M.L., T.G.U.).
M Reis FerreiraFrom the Departments of Oncology (D.A., I.P., M.R.F., A.K., M.L., T.G.U.).ORCID 0000-0001-8288-5815
A KongFrom the Departments of Oncology (D.A., I.P., M.R.F., A.K., M.L., T.G.U.).ORCID 0000-0002-3989-3948
M LeiFrom the Departments of Oncology (D.A., I.P., M.R.F., A.K., M.L., T.G.U.).ORCID 0000-0001-6476-792X
C ThomasMedical Physics (C.T.).ORCID 0000-0003-2491-3915
S F BarringtonKing's College London and Guy's and St Thomas' PET Centre (S.F.B.), School of Biomedical Engineering and Imaging Sciences, King's College London, King's Health Partners, London, UK.ORCID 0000-0002-2516-5288
C DudauRadiology (C.D., P.T., S.E.J.C.), Guy's and St Thomas' National Health Service Foundation Trust, London, UK.ORCID 0000-0003-3019-5382
P TouskaRadiology (C.D., P.T., S.E.J.C.), Guy's and St Thomas' National Health Service Foundation Trust, London, UK.ORCID 0000-0002-9350-0420
T Guerrero UrbanoFrom the Departments of Oncology (D.A., I.P., M.R.F., A.K., M.L., T.G.U.).
S E J ConnorRadiology (C.D., P.T., S.E.J.C.), Guy's and St Thomas' National Health Service Foundation Trust, London, UK.ORCID 0000-0001-5502-4972
MACOM (United States) · USNational Health Service · GBCentre for Biomedical Engineering and Physics · SEG. H. Gillespie Associates (United States) · USKing's College London · GB

Funding

Cancer Research UK 28990Cancer Research UK C7893/A28990Department of Health RP-2-16-07-001Wellcome TrustWellcome Trust 203148/Z/16/ZWellcome Trust WT 203148/Z/16/Z
6 · The paper itself

Abstract

background and purposePeer review of head and neck cancer radiation therapy target volumes by radiologists was introduced in our center to optimize target volume delineation. Our aim was to assess the impact of MR imaging-based radiologist peer review of head and neck radiation therapy gross tumor and nodal volumes, through qualitative and quantitative analysis. MATERIALS AND

methodsCases undergoing radical radiation therapy with a coregistered MR imaging, between April 2019 and March 2020, were reviewed. The frequency and nature of volume changes were documented, with major changes classified as per the guidance of The Royal College of Radiologists. Volumetric alignment was assessed using the Dice similarity coefficient, Jaccard index, and Hausdorff distance.

resultsFifty cases were reviewed between April 2019 and March 2020. The median age was 59 years (range, 29-83 years), and 72% were men. Seventy-six percent of gross tumor volumes and 41.5% of gross nodal volumes were altered, with 54.8% of gross tumor volume and 66.6% of gross nodal volume alterations classified as "major." Undercontouring of soft-tissue involvement and unidentified lymph nodes were predominant reasons for change. Radiologist review significantly altered the size of both the gross tumor volume (

conclusionsMR imaging-based radiologist review resulted in major changes to most radiotherapy target volumes and significant changes in volume size of both gross tumor volume and clinical target tumor volume, suggesting that this is a fundamental step in the radiotherapy workflow of patients with head and neck cancer.

Indexed as

Head and Neck NeoplasmsAdultAgedAged, 80 and overFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPeer ReviewRadiologistsRadiotherapy Planning, Computer-AssistedTumor Burden

Identifiers

PMID36702503
PMCPMC9891322
OpenAlexW4318071580

What OpenQuestion holds

Textmetadata
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.