Evidence map›Paper›PMID 37736754›Full record

Trial reportEuropean journal of medical research2023

The application of 3D-printed oral stents in intensity-modulated radiotherapy for oropharyngeal cancer and their dosimetric effect on organs at risk.

Jungang Ma, Zhuo Chen, Shuixia Liu, Wei Hu, Kunpu Su, Rong He, Peng Zhou, He Xiao, Jia Ju, Qianying Hou and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of medical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Observational
  4. Article
  5. Intraoral stent for head and neck radiotherapy using 3D technology: an integrative review.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
    Review
  6. Article
  7. 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

12 authors at 3 institutions in 1 country.

Jungang Ma *Department of Oncology, Daping Hospital, Army Medical University, 10 Changjiang Branch Road, Chongqing, 400042, China.
Zhuo Chen *Department of Oncology, Daping Hospital, Army Medical University, 10 Changjiang Branch Road, Chongqing, 400042, China.
Shuixia LiuDepartment of Oncology, Daping Hospital, Army Medical University, 10 Changjiang Branch Road, Chongqing, 400042, China.
Wei HuDepartment of Oncology, Daping Hospital, Army Medical University, 10 Changjiang Branch Road, Chongqing, 400042, China.
Kunpu SuDepartment of Oncology, Daping Hospital, Army Medical University, 10 Changjiang Branch Road, Chongqing, 400042, China.
Rong HeDepartment of Oncology, Daping Hospital, Army Medical University, 10 Changjiang Branch Road, Chongqing, 400042, China.
Peng ZhouDepartment of Oncology, Daping Hospital, Army Medical University, 10 Changjiang Branch Road, Chongqing, 400042, China.
He XiaoDepartment of Oncology, Daping Hospital, Army Medical University, 10 Changjiang Branch Road, Chongqing, 400042, China.
Jia JuDepartment of Oncology, Daping Hospital, Army Medical University, 10 Changjiang Branch Road, Chongqing, 400042, China.
Qianying HouDepartment of Oncology, Daping Hospital, Army Medical University, 10 Changjiang Branch Road, Chongqing, 400042, China.
Yinying ZhouDepartment of Critical Care MedicineDaping Hospital, Army Medical University, Chongqing, 400042, China.
Bin WangDepartment of Oncology, The Seventh People's Hospital of Chongqing (Affiliated Central Hospital of Chongqing University of Technology), Lijiatuo Street, Chongqing, 400054, China. wangjianlinbin@163.com.
Army Medical University · CNDaping Hospital · CNChongqing University of Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study investigates the accuracy of 3D-printed dental stents in intensity-modulated radiotherapy (IMRT) for oropharyngeal cancer (OPC) and their dosimetric effects on normal tissues.

methodsWe selected 60 patients with OPC who underwent IMRT in the Department of Oncology, Special Medical Center of Army Medical University. These patients were randomly assigned into 3D-printed oral stent, simple glass bottle, and nonstent groups (20 patients/group). The positioning error was analyzed with the onboard imaging system once a week after 5 fractions of IMRT. The conformity index (CI), homogeneity index (HI), radiation dose of organs at risk (OARs), and oral mucosal reaction were compared among the three groups.

resultsNo significant difference was observed in the conformity and uniformity of the target dose and the dose received by the spinal cord, larynx, and bilateral parotid glands among the three groups (P > 0.05). Meanwhile, the dose received by the upper cheek, hard palate, and soft palate of patients was significantly lower in the 3D-printed oral stent group than in the nonstent group (P < 0.05) but insignificantly different between the 3D-printed oral stent and simple glass bottle groups (P > 0.05). When compared with the nonstent group, the simple glass bottle group showed a markedly lower dose received by the upper cheek (P < 0.05) and an insignificantly different dose received by the hard palate and soft palate (P > 0.05). According to Common Terminology Criteria for Adverse Events v.5.0, the adverse response rate of the hard palate mucosa was lower in the 3D-printed oral stent group than in the simple glass bottle and nonstent groups (P < 0.05).

conclusionsFor OPC patients undergoing IMRT, the application of 3D-printed oral stents can significantly reduce the exposure dose of the upper cheek and hard palate and decrease the occurrence of adverse events such as oral mucositis although it cannot affect the positioning error.

Indexed as

Oropharyngeal NeoplasmsRadiotherapy, Intensity-ModulatedHumansOrgans at RiskPrinting, Three-DimensionalStents3D printingDosimetryOral stentOrgans at riskOropharyngeal cancer

Identifiers

PMID37736754
PMCPMC10515031
OpenAlexW4386944242

What OpenQuestion holds

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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.