Evidence map›Paper›PMID 36896212›Full record

ArticleAdvances in radiation oncology

Normal Tissue Integral Dose as a Result of Prostate Radiation Therapy: A Quantitative Comparison Between High-Dose-Rate Brachytherapy and Modern External Beam Radiation Therapy Techniques.

Vincent P Grzywacz, Jessica D Arden, Nikhil P Mankuzhy, Gary S Gustafson, Evelyn A Sebastian, Veronica L Abbott, Kailee J Walters, Julie A Puzzonia, Amy S Limbacher, Jason M Hafron and 1 more

Open access · goldAbstract read
In one paragraph

Article in Advances in radiation oncology. 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
1.1field-weighted citation impact, top 23% 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, 4 citations in OpenAlex.

  1. Recent advances in applying machine learning to proton radiotherapy.Biomedical physics & engineering express · 2025
    Pooled it
  2. 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

11 authors at 2 institutions in 1 country.

Vincent P GrzywaczDepartment of Radiation Oncology, Beaumont Health, Royal Oak, Michigan.
Jessica D ArdenDepartment of Radiation Oncology, Beaumont Health, Royal Oak, Michigan.
Nikhil P MankuzhyDepartment of Internal Medicine, St. Joseph's Health, Ann Arbor, Michigan.
Gary S GustafsonDepartment of Radiation Oncology, Beaumont Health, Royal Oak, Michigan.
Evelyn A SebastianDepartment of Radiation Oncology, Beaumont Health, Royal Oak, Michigan.
Veronica L AbbottDepartment of Radiation Oncology, Beaumont Health, Royal Oak, Michigan.
Kailee J WaltersDepartment of Radiation Oncology, Beaumont Health, Royal Oak, Michigan.
Julie A PuzzoniaDepartment of Radiation Oncology, Beaumont Health, Royal Oak, Michigan.
Amy S LimbacherDepartment of Radiation Oncology, Beaumont Health, Royal Oak, Michigan.
Jason M HafronDepartment of Urology, Beaumont Health, Royal Oak, Michigan.
Daniel J KraussDepartment of Radiation Oncology, Beaumont Health, Royal Oak, Michigan.
Beaumont Health · USTrinity Health Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Quantification of integral radiation dose delivered during treatment for prostate cancer is lacking. We performed a comparative quantification of dose to nontarget body tissues delivered via 4 common radiation techniques: conventional volumetric modulated arc therapy, stereotactic body radiation therapy, pencil-beam scanning proton therapy, and high-dose-rate brachytherapy. Methods and Materials: Plans for each radiation technique were generated for 10 patients with typical anatomy. For brachytherapy plans, virtual needles were placed to achieve standard dosimetry. Standard planning target volume margins or robustness margins were applied as appropriate. A "normal tissue" structure (entire computed tomography simulation volume minus planning target volume) was generated for integral dose computation. Dose-volume histogram parameters for targets and normal structures were tabulated. Normal tissue integral dose was calculated by multiplying normal tissue volume by mean dose. Results: Normal tissue integral dose was lowest for brachytherapy. Pencil-beam scanning protons, stereotactic body radiation therapy, and brachytherapy resulted in 17%, 57%, and 91% absolute reductions compared with standard volumetric modulated arc therapy, respectively. Mean nontarget tissues receiving 25%, 50%, and 75% of the prescription dose were reduced by 85%, 76%, and 83% for brachytherapy relative to volumetric modulated arc therapy, by 79%, 64%, and 74% relative to stereotactic body radiation therapy, and 73%, 60%, and 81% relative to proton therapy. All reductions observed using brachytherapy were statistically significant. Conclusions: High-dose-rate brachytherapy is an effective technique for reducing dose to nontarget body tissues relative to volumetric modulated arc therapy, stereotactic body radiation therapy, and pencil-beam scanning proton therapy.

Identifiers

PMID36896212
PMCPMC9991537
OpenAlexW4313255711

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.