Evidence map›Paper›PMID 37688419›Full record

ArticleTumori2023

Impact of inter-observer variability on first axillary level dosimetry in breast cancer radiotherapy: An AIRO multi-institutional study.

Maria Cristina Leonardi, Matteo Pepa, Mattia Zaffaroni, Maria Giulia Vincini, Rosa Luraschi, Sabrina Vigorito, Anna Morra, Samantha Dicuonzo, Giovanni Carlo Mazzola, Marianna Alessandra Gerardi and 31 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Tumori, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

41 authors at 20 institutions in 1 country.

Maria Cristina LeonardiDivision of Radiation Oncology, Istituto Europeo di Oncologia, IRCCS, Milano, Italy.
Matteo PepaDivision of Radiation Oncology, Istituto Europeo di Oncologia, IRCCS, Milano, Italy.ORCID 0000-0003-1338-9556
Mattia ZaffaroniDivision of Radiation Oncology, Istituto Europeo di Oncologia, IRCCS, Milano, Italy.ORCID 0000-0003-4655-4634
Maria Giulia VinciniORCID 0000-0001-7830-3149
Rosa LuraschiUnit of Medical Physics, Istituto Europeo di Oncologia, IRCCS, Milano, Italy.
Sabrina VigoritoUnit of Medical Physics, Istituto Europeo di Oncologia, IRCCS, Milano, Italy.
Anna MorraDivision of Radiation Oncology, Istituto Europeo di Oncologia, IRCCS, Milano, Italy.
Samantha DicuonzoDivision of Radiation Oncology, Istituto Europeo di Oncologia, IRCCS, Milano, Italy.ORCID 0000-0003-4275-0080
Giovanni Carlo MazzolaDivision of Radiation Oncology, Istituto Europeo di Oncologia, IRCCS, Milano, Italy.
Marianna Alessandra GerardiDivision of Radiation Oncology, Istituto Europeo di Oncologia, IRCCS, Milano, Italy.
Maria Alessia ZerellaDivision of Radiation Oncology, Istituto Europeo di Oncologia, IRCCS, Milano, Italy.
Domenico CanteRadiotherapy Department, ASL TO4 Ivrea Community Hospital, Ivrea, Italy.
Edoardo PetrucciUnit of Medical Physics, ASL TO4 Ivrea Community Hospital, Ivrea, Italy.
Giuseppina BorzìUnit of Medical Physics, REM Radioterapia, Viagrande, Italy.
Maristella MarroccoUnit of Medical Physics, Campus Bio-Medico University, Roma, Italy.
Matteo ChieregatoUnit of Medical Physics, Fondazione Poliambulanza, Brescia, Italy.
Luciano IadanzaUnit of Medical Physics, Azienda Ospedaliera di Rilievo Nazionale San Pio, Benevento, Italy.
Francesca LobefaloRadiotherapy and Radiosurgery Department, Humanitas Clinical and Research Centre IRCCS, Milano, Italy.
Marco ValentiUnit of Medical Physics, Ospedali Riuniti Umberto I, G.M. Lancisi, G. Salesi, Ancona, Italy.
Anna CavalloUnit of Medical Physics, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.
Serenella RussoUnit of Medical Physics, AUSL Toscana Centro, Ospedale Santa Maria Annunziata, Firenze, Italy.
Marika GuernieriMedical Physics Unit, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy.
Tiziana MalatestaUnit of Medical Physics, Ospedale Fatebenefratelli Isola Tiberina - Gemelli Isola, Roma, Italy.
Ilaria MeagliaDepartment of Radiation Oncology, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
Marco LiottaUnit of Medical Physics, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
Isabella PalumboRadiation Oncology section, University of Perugia and Perugia General Hospital, Perugia, Italy.
Marta MarcantoniniMedical Physics Unit, University of Perugia and Perugia General Hospital, Perugia, Italy.
Emilio MezzengaMedical Physics Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori", Meldola, Italy.
Sara FaliveneDepartment of Radiotherapy, ASL Napoli1 Centro - Ospedale del Mare, Napoli, Italy.
Cecilia ArrichielloUnit of Radiotherapy, Istituto Nazionale Tumori - IRCCS - Fondazione G. Pascale, Napoli, Italy.
Maria Paola BarberoUnit of Medical Physics, Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Giovanni Battista IvaldiDepartment of Radiation Oncology, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
Gianpiero CatalanoDepartment of Radiotherapy, IRCCS MultiMedica, Sesto San Giovanni, Italy.
Cristiana VidaliDepartment of Radiation Oncology, Azienda Sanitaria Universitaria Integrata di Trieste, Trieste, Italy.
Caterina GiannittoDivision of Radiology, Istituto Europeo di Oncologia IRCCS, Milano, Italy.
Antonella CiabattoniDepartment of Radiotherapy, San Filippo Neri Hospital, ASL Roma 1, Roma, Italy.ORCID 0000-0002-3377-4251
Icro MeattiniRadiation Oncology Unit - Oncology Department, Azienda Ospedaliero-Universitaria Careggi, Firenze, Italy.
Cynthia AristeiRadiation Oncology section, University of Perugia and Perugia General Hospital, Perugia, Italy.
Roberto OrecchiaScientific Direction, Istituto Europeo di Oncologia, IRCCS, Milano, Italy.
Federica CattaniUnit of Medical Physics, Istituto Europeo di Oncologia, IRCCS, Milano, Italy.
Barbara Alicja Jereczek-FossaDivision of Radiation Oncology, Istituto Europeo di Oncologia, IRCCS, Milano, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITIstituti Clinici Scientifici Maugeri · ITUniversity of Perugia · ITOspedale Civile Di Ivrea · ITASL Roma · ITAzienda di Rilievo Nazionale ed Alta Specializzazione · ITAzienda Ospedaliera Fatebenefratelli e Oftalmico · ITAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITAzienda Ospedaliero-Universitaria Careggi · ITAzienda Sanitaria Universitaria Integrata di Trieste · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITFondazione Poliambulanza Istituto Ospedaliero · ITHumanitas University · ITIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITItalian Association for Cancer Research · ITMultiMedica · ITOspedale Santa Maria Annunziata · ITOspedali Riuniti Umberto I · ITUniversità Campus Bio-Medico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study quantified the incidental dose to the first axillary level (L1) in locoregional treatment plan for breast cancer. Eighteen radiotherapy centres contoured L1-L4 on three different patients (P1,2,3), created the L2-L4 planning target volume (single centre planning target volume, SC-PTV) and elaborated a locoregional treatment plan. The L2-L4 gold standard clinical target volume (CTV) along with the gold standard L1 contour (GS-L1) were created by an expert consensus. The SC-PTV was then replaced by the GS-PTV and the incidental dose to GS-L1 was measured. Dosimetric data were analysed with Kruskal-Wallis test. Plans were intensity modulated radiotherapy (IMRT)-based. P3 with 90° arm setup had statistically significant higher L1 dose across the board than P1 and P2, with the mean dose (Dmean) reaching clinical significance. Dmean of P1 and P2 was consistent with the literature (77.4% and 74.7%, respectively). The incidental dose depended mostly on L1 proportion included in the breast fields, underlining the importance of the setup, even in case of IMRT.

Indexed as

Breast NeoplasmsRadiotherapy, Intensity-ModulatedBreastFemaleHumansObserver VariationRadiotherapy DosageRadiotherapy Planning, Computer-Assistedbreast cancercontouringfirst axillary levelinter-observer variability

Identifiers

PMID37688419
PMCPMC10702305
OpenAlexW4386564510

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.