Evidence map›Paper›PMID 39253547›Full record

ArticleBreast cancer (Dove Medical Press)2024

Comparative Analysis of Dosimetry: IMRT versus 3DCRT in Left-Sided Breast Cancer Patients with Considering Some Organs in Out - of - Field Borders.

Shaimaa G Ghazy, Mostafa A Abdel-Maksoud, Ibrahim A Saleh, Mohamed A El-Tayeb, Amr A Elsaid, Metwally A Kotb, Diana A Al-Sherif, Heba S Ramadan, Ahmed Elwahsh, Ahmed M Hussein and 1 more

Abstract read
In one paragraph

Article in Breast cancer (Dove Medical Press), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Shaimaa G GhazyRadiation Therapy Department, Armed Forces Medical Complex, Alexandria, Egypt.
Mostafa A Abdel-MaksoudBotany and Microbiology Department- College of Science- King Saud University, Riyadh, Saudi Arabia.
Ibrahim A SalehFaculty of Science, Zarqa University, Zarqa, 13110, Jordan.
Mohamed A El-TayebBotany and Microbiology Department- College of Science- King Saud University, Riyadh, Saudi Arabia.
Amr A ElsaidOncology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Metwally A KotbMedical Biophysics Department, Medical Research Institute, Alexandria University, Alexandria, Egypt.
Diana A Al-SherifApplied Medical Science Faculty, Sixth October University, Sixth October, Giza, Egypt.
Heba S RamadanMedical Biophysics Department, Medical Research Institute, Alexandria University, Alexandria, Egypt.
Ahmed ElwahshCentral Radiology Institute, Kepler University Hospital GmbH, Linz, Austria.
Ahmed M HusseinDepartment of Pharmaceutical Sciences, Division of Pharmacology and Toxicology, University of Vienna, Vienna, 1090, Austria.ORCID 0000-0002-7315-9886
Ahmad S KodousPharmacology Department, Saveetha Institute of Medical and Technical Sciences, Saveetha Dental College & Hospitals, Chennai, TN, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The local management approach for node-positive breast cancer has undergone substantial evolution. Consequently, there exists a pressing need to enhance our treatment strategies by placing greater emphasis on planning and dosimetric factors, given the availability of more conformal techniques and delineation criteria, achieving optimal goals of radiotherapy treatment. The primary aim of this article is to discuss how the extent of regional nodal coverage influences the choice between IMRT and 3D radiation therapy for patients. Patients and Methods: A total of 15 patients diagnosed with left breast cancer with disease involved lymph nodes were included in this study. Delivering the recommended dose required the use of a linear accelerator (LINAC) with photon beams energy of 6 mega voltage (6MV). Each patient had full breast radiation using two planning procedures: intensity-modulated radiotherapy (IMRT) and three-dimensional radiotherapy (3D conformal). Following the guidelines set forth by the Radiation Therapy Oncology Group (RTOG), the planned treatment coverage was carefully designed to fall between 95% and 107% of the recommended dose. Additionally, Dose Volume Histograms (DVHs) were generated the dose distribution within these anatomical contours. Results and Conclusion: The DVH parameters were subjected to a comparative analysis, focusing on the doses absorbed by both Organs at Risk (OARs) and the Planning Target Volume (PTV). The findings suggest that low doses in IMRT plan might raise the risk of adverse oncological outcomes or potentially result in an increased incidence of subsequent malignancies. Consequently, the adoption of inverse IMRT remains limited, and the decision to opt for this therapy should be reserved for situations where it is genuinely necessary to uphold a satisfactory quality of life. Additionally, this approach helps in reducing the likelihood of developing thyroid problems and mitigates the risk of injuries to the supraclavicular area and the proximal head of the humerus bone.

Indexed as

breast cancerLINACphoton exposure and secondary cancer riskradiotherapyRTOG

Identifiers

PMID39253547
PMCPMC11382807

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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.