Evidence map›Paper›PMID 36826845›Full record

ArticleJournal of applied clinical medical physics2023

A two-step treatment planning strategy incorporating knowledge-based planning for head-and-neck radiotherapy.

Han Liu, Benjamin Sintay, David Wiant

Open access · goldAbstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.1field-weighted citation impact, top 15% 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

5 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

3 authors at 1 institution in 1 country.

Han LiuDepartment of Radiation Oncology, Cone Health Cancer Center, Greensboro, North Carolina, USA.
Benjamin SintayDepartment of Radiation Oncology, Cone Health Cancer Center, Greensboro, North Carolina, USA.
David WiantDepartment of Radiation Oncology, Cone Health Cancer Center, Greensboro, North Carolina, USA.
Cone Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere has been much research interest in automated head-and-neck (HN) planning with the goal of reducing planning time and inter-planner variability while improving plan quality. However, clinical uses are still limited and institution-dependent due to the plan complexity. This work aims to investigate whether the use of a novel semi-automated two-step optimization method (TSP) can improve the quality and efficiency of planning while providing a simple framework that other institutions can follow. METHODS AND MATERIALS: Forty patients (two and three prescription isodose levels) were retrospectively studied. Plans were generated by TSP which incorporates a knowledge-based planning solution. Comparisons were performed for plan conformity and selected dose-volume indices between clinical plan (CP) and TSP. Blind reviews were carried out by 15 clinicians to determine preference between the CP and TSP, as well as clinical suitability.

resultsFor majority of patients studied, TSP had similar or slightly better conformity for the high-dose PTV, and better conformity for the low-dose PTV and 45 Gy isodose lines compared to CP. The only statistically significant difference observed for the serial organs was a reduction of the spinal cord maximum dose with TSP. Except for left parotid gland (D

conclusionOur TSP allows plans to be created within 90-min time frame while offering improvements in plan quality and less inter-planner variability as compared to traditional planning techniques.

Indexed as

Head and Neck NeoplasmsRadiotherapy, Intensity-ModulatedHumansOrgans at RiskRadiotherapy DosageRadiotherapy Planning, Computer-AssistedRetrospective Studiesknowledge-based planningoptimization method

Identifiers

PMID36826845
PMCPMC10243331
OpenAlexW4321749077

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.