Evidence map›Paper›PMID 38589961›Full record

ArticleRadiation oncology (London, England)2024

Multi-institutional evaluation of a Pareto navigation guided automated radiotherapy planning solution for prostate cancer.

Philip A Wheeler, Nicholas S West, Richard Powis, Rhydian Maggs, Michael Chu, Rachel A Pearson, Nick Willis, Bartlomiej Kurec, Katie L Reed, David G Lewis and 3 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Radiation oncology (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.6field-weighted citation impact, top 8% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

13 authors at 4 institutions in 1 country.

Philip A WheelerRadiotherapy Physics Department, Velindre Cancer Centre, CF14 2TL, Cardiff, Wales, UK. philip.wheeler@wales.nhs.uk.
Nicholas S WestNorthern Centre for Cancer Care, Cancer Services and Clinical Haematology, Newcastle upon Tyne, UK.
Richard PowisWorcester Oncology Centre, Worcestershire Acute Hospitals NHS Trust, Worcester, UK.
Rhydian MaggsRadiotherapy Physics Department, Velindre Cancer Centre, CF14 2TL, Cardiff, Wales, UK.
Michael ChuRadiotherapy Physics Department, Velindre Cancer Centre, CF14 2TL, Cardiff, Wales, UK.
Rachel A PearsonTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University Centre for Cancer, Newcastle University, Newcastle upon Tyne, UK.
Nick WillisNorthern Centre for Cancer Care, Cancer Services and Clinical Haematology, Newcastle upon Tyne, UK.
Bartlomiej KurecWorcester Oncology Centre, Worcestershire Acute Hospitals NHS Trust, Worcester, UK.
Katie L ReedWorcester Oncology Centre, Worcestershire Acute Hospitals NHS Trust, Worcester, UK.
David G LewisRadiotherapy Physics Department, Velindre Cancer Centre, CF14 2TL, Cardiff, Wales, UK.
John StaffurthSchool of Medicine, Cardiff University, Cardiff, Wales, UK.
Emiliano SpeziSchool of Engineering, Cardiff University, Cardiff, Wales, UK.
Anthony E MillinRadiotherapy Physics Department, Velindre Cancer Centre, CF14 2TL, Cardiff, Wales, UK.
Velindre Cancer Centre · GBWorcestershire Acute Hospitals NHS Trust · GBCardiff University · GBNewcastle University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent automated planning solutions are calibrated using trial and error or machine learning on historical datasets. Neither method allows for the intuitive exploration of differing trade-off options during calibration, which may aid in ensuring automated solutions align with clinical preference. Pareto navigation provides this functionality and offers a potential calibration alternative. The purpose of this study was to validate an automated radiotherapy planning solution with a novel multi-dimensional Pareto navigation calibration interface across two external institutions for prostate cancer.

methodsThe implemented 'Pareto Guided Automated Planning' (PGAP) methodology was developed in RayStation using scripting and consisted of a Pareto navigation calibration interface built upon a 'Protocol Based Automatic Iterative Optimisation' planning framework. 30 previous patients were randomly selected by each institution (I

resultsPGAP led to marked improvements across the majority of rectal dose metrics, with D

conclusionsPGAP enabled intuitive adaptation of automated protocols to an institution's planning aims and yielded plans more congruent with the institution's clinical preference than the locally produced manual clinical plans.

Indexed as

Prostatic NeoplasmsRadiotherapy, Intensity-ModulatedHumansMaleOrgans at RiskRadiotherapy DosageRadiotherapy Planning, Computer-AssistedUrinary BladderAIAutomationIMRTMCOMulti-institutionalParetoProstate cancerRadiotherapyTreatment planningVMAT

Identifiers

PMID38589961
PMCPMC11003074
OpenAlexW4394578827

What OpenQuestion holds

Textmetadata
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.