Evidence map›Paper›PMID 39379827›Full record

SynthesisBMC cancer2024

Clinical benefits of deep inspiration breath-hold in postoperative radiotherapy for right-sided breast cancer: a meta-analysis.

Zhuocheng Li, Chenxi Jian, Yuanyuan Li, Zhenyu Pan, Guozi Yang, Xingru Sun

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Trial
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  7. Epidemiology, early detection, and management of breast cancer in China: A comprehensive review.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025
    Article
  8. Article
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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

6 authors.

Zhuocheng LiSanquan College of Xinxiang Medical University, Xinxiang, China.
Chenxi JianSanquan College of Xinxiang Medical University, Xinxiang, China.
Yuanyuan LiNational Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital and Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, China.
Zhenyu PanThe Affiliated Huizhou Hospital, Guangzhou Medical University, Guangzhou, China.
Guozi YangThe Affiliated Huizhou Hospital, Guangzhou Medical University, Guangzhou, China.
Xingru SunThe Affiliated Huizhou Hospital, Guangzhou Medical University, Guangzhou, China. 18843108845@163.com.

Funding

Guangdong Province Basic and Applied Basic Research Foundation Regional Joint Fund Regional Cultivation Project 2023A1515140145the Science and Technology Innovation Team Project of Huizhou Science and Technology Bureau 2023EQ050012the Strong Foundation of Scientific Research Program of Guangzhou Medical University 2024SRP215
6 · The paper itself

Abstract

objectivesThe study aims to emphasize the clinical importance of the Deep Inspiration Breath Hold (DIBH) technique by quantifying its dosimetric advantages over Free Breathing (FB) in reducing radiation exposure to the heart, liver, and lungs for right-sided breast cancer patients. This evidence supports its potential for routine clinical use to mitigate radiation-induced toxicity.

methodsA systematic retrieval of controlled trials comparing DIBH and FB techniques in postoperative radiotherapy for right-sided breast cancer was conducted utilizing the PubMed, Embase, Cochrane Library, and Web of Science databases. The primary outcomes assessed included the doses of adjacent normal tissues (heart, liver, and lungs). Summary standardized mean differences (SMD) along with 95% confidence intervals (CI) were computed, respectively. StataMP 17 software was selected to perform data analysis.

resultsThe study encompassed an analysis of 313 patients derived from seven online studies, comprising 168 individuals in the DIBH group and 269 individuals in the FB group. The findings indicated that the DIBH group received significantly lower irradiation doses to the heart, liver, and lungs in comparison to the FB group, with statistical significance (heart dose: SMD = -0.63, 95% CI -0.85 to -0.41, P < 0.05; liver dose: SMD = -1.15, 95% CI -1.91 to -0.38, P < 0.05; lung dose: SMD = -0.79, 95% CI -1.23 to -0.35, P < 0.05).

conclusionThis meta-analysis indicated that the application of DIBH during postoperative radiotherapy for right-sided breast cancer markedly decreases radiation exposure to the heart, liver, and lungs, while maintaining consistent tumor dose coverage. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Breath HoldingUnilateral Breast NeoplasmsBreast NeoplasmsFemaleHeartHumansInhalationLiverLungOrgans at RiskRadiotherapy, AdjuvantRadiotherapy DosageBreast cancerDeep inspiration breath holdMeta-analysisRadiotherapy

Identifiers

PMID39379827
PMCPMC11460020

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.