Evidence map›Paper›PMID 36968577›Full record

ArticleClinical and translational radiation oncology2023

Current practices and perspectives on the integration of contrast agents in MRI-guided radiation therapy clinical practice: A worldwide survey.

Luca Boldrini, Filippo Alongi, Angela Romano, Diepriye Charles Davies, Michael Bassetti, Giuditta Chiloiro, Stefanie Corradini, Maria Antonietta Gambacorta, Lorenzo Placidi, Alison C Tree and 2 more

Abstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2023. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Iron Oxide Nanoparticle-Based TNanomaterials (Basel, Switzerland) · 2024
    Review
  4. Article
  5. Biomedical advances and future prospects of high-precision three-dimensional radiotherapy and four-dimensional radiotherapy.Proceedings of the Japan Academy. Series B, Physical and biological sciences · 2023
    Article
  6. Review
  7. Review
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.

Luca BoldriniDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Filippo AlongiAdvanced Radiation Oncology Department, IRCCS Sacro Cuore Don Calabria Hospital, Negrar, Verona, Italy.
Angela RomanoDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Diepriye Charles DaviesDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Michael BassettiDepartment of Human Oncology, University of Wisconsin-Madison, Madison, WI, USA.
Giuditta ChiloiroDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Stefanie CorradiniDepartment of Radiation Oncology, University Hospital, LMU Munich, Munich, Germany.
Maria Antonietta GambacortaDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Lorenzo PlacidiDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Rome, Italy.
Alison C TreeThe Royal Marsden NHS Foundation Trust, Sutton, UK.
Rosalyne WestleyThe Royal Marsden NHS Foundation Trust, Sutton, UK.
Luca NicosiaAdvanced Radiation Oncology Department, IRCCS Sacro Cuore Don Calabria Hospital, Negrar, Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: The introduction of on-line magnetic resonance image-guided radiotherapy (MRIgRT) has led to an improvement in the therapeutic workflow of radiotherapy treatments thanks to the better visualization of therapy volumes assured by the higher soft tissue contrast. Magnetic Resonance contrast agents (MRCA) could improve the target delineation in on-line MRIgRT planning as well as reduce inter-observer variability and enable innovative treatment optimization protocols. The aim of this survey is to investigate the utilization of MRCA among centres that clinically implemented on-line MRIgRT technology. Methods: In September 2021, we conducted an online survey consisting of a sixteen-question questionnaire that was distributed to the all the hospitals around the world equipped with MR Linacs. The questionnaire was developed by two Italian 0.35 T and 1.5 T MR-Linac centres and was validated by four other collaborating centres, using a Delphi consensus methodology. Results: The survey was distributed to 52 centres and 43 centres completed it (82.7%). Among these centres, 23 institutions (53.5%) used the 0.35T MR-Linac system, while the remaining 20 (46.5%) used the 1.5T MR-Linac system.According to results obtained, 25 (58%) of the centres implemented the use of MRCA for on-line MRIgRT. Gadoxetate (Eovist®; Primovist®) was reported to be the most used MRCA (80%) and liver the most common site of application (58%). Over 70% of responders agreed/strongly agreed to the need for international guidelines. Conclusions: The use of MRCA in clinical practice presents several pitfalls and future research will be necessary to understand the actual advantage derived from the use of MRCA in clinical practice, their toxicity profiles and better define the need of formulating guidelines for standardising the use of MRCA in MRIgRT workflow.

Indexed as

Magnetic resonance guided radiation therapyMRI contrast agentsRadiotherapy planningTarget delineation

Identifiers

PMID36968577
PMCPMC10034422

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.