Evidence map›Paper›PMID 37007149›Full record

ArticleFrontiers in oncology2023

Hypofractionated whole breast irradiation with simultaneous integrated boost in breast cancer using helical tomotherapy with or without regional nodal irradiation: A report of acute toxicities.

Imjai Chitapanarux, Wannapha Nobnop, Wimrak Onchan, Pitchayaponne Klunklin, Thongtra Nanna, Chomporn Sitathanee, Sutthisak Kulpisitthicharoen, Patumrat Sripan

Abstract read
In one paragraph

Article in Frontiers in oncology, 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

8 authors.

Imjai ChitapanaruxDivision of Radiation Oncology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Wannapha NobnopDivision of Radiation Oncology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Wimrak OnchanDivision of Radiation Oncology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Pitchayaponne KlunklinDivision of Radiation Oncology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Thongtra NannaDivision of Radiation Oncology, Faculty of Medicine, Ramathibodi Hospital, Bangkok, Thailand.
Chomporn SitathaneeDivision of Radiation Oncology, Faculty of Medicine, Ramathibodi Hospital, Bangkok, Thailand.
Sutthisak KulpisitthicharoenDivision of Radiation Oncology, Lopburi Cancer Hospital, Lopburi, Thailand.
Patumrat SripanResearch Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: We prospectively investigated the acute toxicities focusing on skin and hematologic function in breast cancer patients who received hypofractionated whole breast irradiation with simultaneous integrated boost (HF-WBI-SIB) with helical tomotherapy (HT), with or without regional nodal irradiation (RNI). Methods: The dose of WBI and RNI was 42.4 Gy in 16 fractions. Tumor bed was prescribed to 49.6 Gy in 16 fractions simultaneously. The association between the worst grade of acute toxicities during treatment and receiving RNI was analyzed. The integral dose to the whole body between the two groups was also compared. Results: Between May 2021 and May 2022, 85 patients were enrolled; 61 patients received HF-WBI-SIB only (71.8%) and 24 patients (28.2%) received HF-WBI-SIB with RNI. Grade 2 acute skin toxicity was found in 1.2%. The most frequent grade 2 or more hematologic toxicity was leukopenia, which occurred in 4.8% and 11% in the 2nd and 3rd week, respectively. Mean whole body integral dose was significantly higher in patients treated with RNI compared to patients treated without RNI: 162.8 ± 32.8 Conclusions: HF-WBI-SIB with or without RNI is feasible with acceptable acute skin and hematologic toxicities. RNI and whole body integral dose were not associated with these acute toxicities.

Indexed as

acute toxicitiesbreast cancerhelical tomotherapy (HT)hypofractionationregional nodal irradiation (RNI)simultaneous integrated boost (SIB)

Identifiers

PMID37007149
PMCPMC10064045

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.