Evidence map›Paper›PMID 36979740›Full record

ArticleBiomedicines2023

Implementation, Dosimetric Assessment, and Treatment Validation of Knowledge-Based Planning (KBP) Models in VMAT Head and Neck Radiation Oncology.

Anna-Maria Fanou, Georgios Patatoukas, Marina Chalkia, Nikolaos Kollaros, Andromachi Kougioumtzopoulou, Vassilis Kouloulias, Kalliopi Platoni

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In one paragraph

Article in Biomedicines, 2023. 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
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  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.

Anna-Maria FanouMedical Physics Unit, Second Department of Radiology, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, Haidari, 12462 Athens, Greece.
Georgios PatatoukasMedical Physics Unit, Second Department of Radiology, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, Haidari, 12462 Athens, Greece.
Marina ChalkiaMedical Physics Unit, Second Department of Radiology, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, Haidari, 12462 Athens, Greece.ORCID 0000-0002-7796-6001
Nikolaos KollarosMedical Physics Unit, Second Department of Radiology, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, Haidari, 12462 Athens, Greece.
Andromachi KougioumtzopoulouRadiation Therapy Unit, Second Department of Radiology, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, Haidari, 12462 Athens, Greece.
Vassilis KoulouliasRadiation Therapy Unit, Second Department of Radiology, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, Haidari, 12462 Athens, Greece.
Kalliopi PlatoniMedical Physics Unit, Second Department of Radiology, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, Haidari, 12462 Athens, Greece.ORCID 0000-0003-2977-7895

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to evaluate knowledge-based treatment planning (KBP) models in terms of their dosimetry and deliverability and to investigate their clinical benefits. Three H&N KBP models were built utilizing RapidPlan™, based on the dose prescription, which is given according to the planning target volume (PTV). The training set for each model consisted of 43 clinically acceptable volumetric modulated arc therapy (VMAT) plans. Model quality was assessed and compared to the delivered treatment plans using the homogeneity index (HI), conformity index (CI), structure dose difference (PTV, organ at risk-OAR), monitor units, MU factor, and complexity index. Model deliverability was assessed through a patient-specific quality assurance (PSQA) gamma index-based analysis. The dosimetric assessment showed better OAR sparing for the RapidPlan™ plans and for the low- and high-risk PTV, and the HI, and CI were comparable between the clinical and RapidPlan™ plans, while for the intermediate-risk PTV, CI was better for clinical plans. The 2D gamma passing rates for RapidPlan™ plans were similar or better than the clinical ones using the 3%/3 mm gamma-index criterion. Monitor units, the MU factors, and complexity indices were found to be comparable between RapidPlan™ and the clinical plans. Knowledge-based treatment plans can be safely adapted into clinical routines, providing improved plan quality in a time efficient way while minimizing user variability.

Indexed as

head and neck cancerknowledge-based planningplan deliverabilityRapidPlan™

Identifiers

PMID36979740
PMCPMC10045933

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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.