Evidence map›Paper›PMID 37471671›Full record

ReviewJCO global oncology2023

Addressing the Global Expertise Gap in Radiation Oncology: The Radiation Planning Assistant.

Laurence Court, Ajay Aggarwal, Hester Burger, Carlos Cardenas, Christine Chung, Raphael Douglas, Monique du Toit, David Jaffray, Anuja Jhingran, Michael Mejia and 16 more

Abstract readReview
In one paragraph

Review in JCO global oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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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

26 authors.

Laurence CourtThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-3241-6145
Ajay AggarwalGuy's and St Thomas' Hospital, London, United Kingdom.ORCID 0000-0001-9645-6659
Hester BurgerGroote Schuur Hospital, University of Cape Town, Cape Town, South Africa.ORCID 0000-0003-2667-2887
Carlos CardenasUniversity of Alabama and Birmingham, Birmingham, AL.ORCID 0000-0003-1414-3849
Christine ChungThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-3093-6913
Raphael DouglasThe University of Texas MD Anderson Cancer Center, Houston, TX.
Monique du ToitTygerberg Hospital, Stellenbosch University, Cape Town, South Africa.
David JaffrayThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-7378-7543
Anuja JhingranThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-0697-1815
Michael MejiaBenavides Cancer Institute, University of Santo Tomas, Manila, Philippines.
Raymond MummeThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-7383-6122
Sikudhani MuyaOcean Road Cancer Institute, Dar es Salaam, Tanzania.ORCID 0000-0001-6634-4277
Komeela NaidooTygerberg Hospital, Stellenbosch University, Cape Town, South Africa.ORCID 0000-0003-2905-9973
Jerry NdumbaloOcean Road Cancer Institute, Dar es Salaam, Tanzania.ORCID 0000-0002-4853-5499
Kelly NealonThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0003-3154-8565
Tucker NethertonThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0003-1583-7121
Callistus NguyenThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0003-4832-869X
Niki OlanrewajuThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-9012-8774
Jeannette ParkesGroote Schuur Hospital, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-7735-1111
Willie ShawUniversity of the Free State, Bloemfontein, South Africa.ORCID 0000-0001-5492-6122
Christoph TrauernichtTygerberg Hospital, Stellenbosch University, Cape Town, South Africa.ORCID 0000-0002-0259-2148
Melody XuUniversity of California San Francisco, San Francisco, CA.ORCID 0000-0001-5459-5730
Jinzhong YangThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-9254-4501
Lifei ZhangThe University of Texas MD Anderson Cancer Center, Houston, TX.
Hannah SimondsUniversity Hospitals Plymouth, Plymouth, United Kingdom.ORCID 0000-0002-4442-6068
Beth M BeadleStanford University, Stanford, CA.ORCID 0000-0001-5497-2831

Funding

Wellcome Trust
6 · The paper itself

Abstract

purposeAutomation, including the use of artificial intelligence, has been identified as a possible opportunity to help reduce the gap in access and quality for radiotherapy and other aspects of cancer care. The Radiation Planning Assistant (RPA) project was conceived in 2015 (and funded in 2016) to use automated contouring and treatment planning algorithms to support the efforts of oncologists in low- and middle-income countries, allowing them to scale their efforts and treat more patients safely and efficiently (to increase access).

designIn this review, we discuss the development of the RPA, with a particular focus on clinical acceptability and safety/risk across jurisdictions as these are important indicators for the successful future deployment of the RPA to increase radiotherapy availability and ameliorate global disparities in access to radiation oncology.

resultsRPA tools will be offered through a webpage, where users can upload computed tomography data sets and download automatically generated contours and treatment plans. All interfaces have been designed to maximize ease of use and minimize risk. The current version of the RPA includes automated contouring and planning for head and neck cancer, cervical cancer, breast cancer, and metastases to the brain.

conclusionThe RPA has been designed to bring high-quality treatment planning to more patients across the world, and it may encourage greater investment in treatment devices and other aspects of cancer treatment.

Indexed as

Breast NeoplasmsRadiation OncologyArtificial IntelligenceAutomationFemaleHumansRadiotherapy Planning, Computer-Assisted

Identifiers

PMID37471671
PMCPMC10581646

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.