Evidence map›Paper›PMID 38317680›Full record

ArticleClinical and translational radiation oncology2024

Early radiologic and metabolic tumour response assessment during combined chemo-radiotherapy for locally advanced NSCLC.

Marie Tvilum, Marianne Marquard Knap, Lone Hoffmann, Azza Ahmed Khalil, Ane L Appelt, Ate Haraldsen, Markus Alber, Cai Grau, Hjørdis Hjalting Schmidt, Maria Kandi and 3 more

Abstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Marie TvilumDepartment of Oncology, Aarhus University Hospital, Denmark.
Marianne Marquard KnapDepartment of Oncology, Aarhus University Hospital, Denmark.
Lone HoffmannDepartment of Oncology, Aarhus University Hospital, Denmark.
Azza Ahmed KhalilDepartment of Oncology, Aarhus University Hospital, Denmark.
Ane L AppeltLeeds Institute of Medical Research at St James's, University of Leeds, United Kingdom.
Ate HaraldsenDepartment of Nuclear Medicine and PET-centre, Aarhus University Hospital, Denmark.
Markus AlberDepartment of Radiation Oncology, Heidelberg University Hospital, Germany.
Cai GrauDanish Center for Particle Therapy, Aarhus University Hospital, Denmark.
Hjørdis Hjalting SchmidtDepartment of Oncology, Aarhus University Hospital, Denmark.
Maria KandiDepartment of Oncology, Aarhus University Hospital, Denmark.
Marianne Ingerslev HoltDepartment of Clinical Genetics, Sygehus Lillebaelt, Vejle, Denmark.
Christina Maria LutzDepartment of Oncology, Aarhus University Hospital, Denmark.
Ditte Sloth MøllerDepartment of Oncology, Aarhus University Hospital, Denmark.

Funding

Cancer Research UK 28832
6 · The paper itself

Abstract

Background: The role of early treatment response for patients with locally advanced non-small cell lung cancer (LA-NSCLC) treated with concurrent chemo-radiotherapy (cCRT) is unclear. The study aims to investigate the predictive value of response to induction chemotherapy (iCX) and the correlation with pattern of failure (PoF). Materials and methods: Patients with LA-NSCLC treated with cCRT were included for analyses (n = 276). Target delineations were registered from radiotherapy planning PET/CT to diagnostic PET/CT, in between which patients received iCX. Volume, sphericity, and SUVpeak were extracted from each scan. First site of failure was categorised as loco-regional (LR), distant (DM), or simultaneous LR+M (LR+M). Fine and Gray models for PoF were performed: a baseline model (including performance status (PS), stage, and histology), an image model for squamous cell carcinoma (SCC), and an image model for non-SCC. Parameters included PS, volume (VOL) of tumour, VOL of lymph nodes, ΔVOL, sphericity, SUVpeak, ΔSUVpeak, and oligometastatic disease. Results: Median follow-up was 7.6 years. SCC had higher sub-distribution hazard ratio (sHR) for LRF (sHR = 2.771 [1.577:4.87], p < 0.01) and decreased sHR for DM (sHR = 0.247 [0.125:0.485], p  <  0.01). For both image models, high diagnostic SUVpeak increased risk of LRF (sHR = 1.059 [1.05:1.106], p < 0.01 for SCC, sHR = 1.12 [1.03:1.21], p < 0.01 for non-SCC). Patients with SCC and less decrease in VOL had higher sHR for DM (sHR = 1.025[1.001:1.048] pr. % increase, p = 0.038). Conclusion: Poor response in disease volume was correlated with higher sHR of DM for SCC, no other clear correlation of response and PoF was observed. Histology significantly correlated with PoF with SCC prone to LRF and non-SCC prone to DM as first site of failure. High SUVpeak at diagnosis increased the risk of LRF for both histologies.

Indexed as

Early treatment responseNon-small cell lung cancerPattern of failure

Identifiers

PMID38317680
PMCPMC10839576

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