Evidence map›Paper›PMID 37728816›Full record

ArticleLa Radiologia medica2023

Stereotactic reirradiation with Cyberknife

Giulio Francolini, Maria Grazia Carnevale, Vanessa Di Cataldo, Mauro Loi, Beatrice Detti, Carolina Orsatti, Luisa Caprara, Niccolò Bertini, Victoria Lorenzetti, Emanuela Olmetto and 12 more

Abstract read
PubMed Publisher
In one paragraph

Article in La Radiologia medica, 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
1.0field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

22 authors at 2 institutions in 1 country.

Giulio FrancoliniRadiation Oncology, Azienda Universitaria Ospedaliera Careggi, Largo Brambilla 1, 50134, Florence, Italy. francolinigiulio@gmail.com.ORCID http://orcid.org/0000-0002-1784-7203
Maria Grazia CarnevaleDepartment of Experimental and Clinical Biomedical Sciences Mario Serio, University of Florence, Florence, Italy.
Vanessa Di CataldoRadiation Oncology, Azienda Universitaria Ospedaliera Careggi, Largo Brambilla 1, 50134, Florence, Italy.
Mauro LoiRadiation Oncology, Azienda Universitaria Ospedaliera Careggi, Largo Brambilla 1, 50134, Florence, Italy.
Beatrice DettiRadiation Oncology, Azienda Universitaria Ospedaliera Careggi, Largo Brambilla 1, 50134, Florence, Italy.
Carolina OrsattiDepartment of Experimental and Clinical Biomedical Sciences Mario Serio, University of Florence, Florence, Italy.
Luisa CapraraDepartment of Experimental and Clinical Biomedical Sciences Mario Serio, University of Florence, Florence, Italy.
Niccolò BertiniDepartment of Experimental and Clinical Biomedical Sciences Mario Serio, University of Florence, Florence, Italy.
Victoria LorenzettiDepartment of Experimental and Clinical Biomedical Sciences Mario Serio, University of Florence, Florence, Italy.
Emanuela OlmettoRadiation Oncology, Azienda Universitaria Ospedaliera Careggi, Largo Brambilla 1, 50134, Florence, Italy.
Carlotta BecheriniRadiation Oncology, Azienda Universitaria Ospedaliera Careggi, Largo Brambilla 1, 50134, Florence, Italy.
Luca VisaniCyberKnife Center, Istituto Fiorentino Di Cura E Assistenza (IFCA), Florence, Italy.
Viola SalvestriniCyberKnife Center, Istituto Fiorentino Di Cura E Assistenza (IFCA), Florence, Italy.
Gabriele SimontacchiRadiation Oncology, Azienda Universitaria Ospedaliera Careggi, Largo Brambilla 1, 50134, Florence, Italy.
Daniela GretoRadiation Oncology, Azienda Universitaria Ospedaliera Careggi, Largo Brambilla 1, 50134, Florence, Italy.
Pierluigi BonomoRadiation Oncology, Azienda Universitaria Ospedaliera Careggi, Largo Brambilla 1, 50134, Florence, Italy.
Raffaela DoroCyberKnife Center, Istituto Fiorentino Di Cura E Assistenza (IFCA), Florence, Italy.
Laura MasiCyberKnife Center, Istituto Fiorentino Di Cura E Assistenza (IFCA), Florence, Italy.
Isacco DesideriDepartment of Experimental and Clinical Biomedical Sciences Mario Serio, University of Florence, Florence, Italy.
Icro MeattiniDepartment of Experimental and Clinical Biomedical Sciences Mario Serio, University of Florence, Florence, Italy.
Sergio SerniUnit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital, University of Florence, 50100, Florence, Italy.
Lorenzo LiviDepartment of Experimental and Clinical Biomedical Sciences Mario Serio, University of Florence, Florence, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUp to 47% of patients with localized prostate cancer (PCa) treated with radiotherapy (EBRT) eventually develop local recurrence. To date, no clear consensus exists on optimal management. A growing body of interest supports the use of stereotaxic re-irradiation (rSBRT), with promising oncological outcomes and low toxicity profile. We collected a single-center case series of locally recurrent PCa who underwent re-irradiation after a previous course of postoperative or definitive radiotherapy. METHODS AND MATERIALS: Data from 101 patients treated at our institution for locally recurrent PCa from June 2012 to June 2021 were retrospectively collected. Patients underwent rSBRT with CyberKnife system (Accuray Inc., Sunnyvale, CA, USA), delivered to intraprostatic or macroscopic recurrences within the prostate bed, for a total dose of 30 Gy in 5 fractions.

resultsAll patients received prior EBRT. The median EQD2 total dose was 75.0 Gy (range, 60-80 Gy). Thirty-two (32%) patients were receiving androgen deprivation therapy (ADT) after prior biochemical recurrence. After a median follow-up of 57.8 months, BR occurred in 55 patients (54.5%), with a median BR-free survival (BRFS) of 40.4 months (95% C.I. 34.3-58.3). Thirty-two patients (31.7%) developed metastatic disease, with a median metastasis-free survival (MFS) not reached. PSA ≥ 2.5 ng/ml and ADT were associated with worst BRFS (26.06 vs. 39.3 months, p = 0.03 and 22.7 vs. 27 months, p = 0.01, respectively). Castration-resistant status and ADT were found to be predictive of worst MFS (34.1 vs. 50.5 months, p = 0.02 and 33.5 vs. 53.1 months, p = 0.002, respectively). Concomitant ADT was confirmed as an independent factor for MFS (HR 4.8, 95% CI 1.5-10.6, p = 0.007). No grade > /2 adverse were recorded.

conclusionsAfter almost 5 years of follow-up, with a median BRFS of 40.4 months and no grade ≥ 2 AEs, Cyberknife

Indexed as

Prostatic NeoplasmsRe-IrradiationAndrogen AntagonistsHumansMaleNeoplasm Recurrence, LocalProstateProstate-Specific AntigenRetrospective StudiesAndrogen AntagonistsProstate-Specific AntigenCyberknifeProstate cancerReirradiation

Identifiers

PMID37728816
OpenAlexW4386878405

What OpenQuestion holds

Textmetadata
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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.