Evidence map›Paper›PMID 39398669›Full record

ArticleCureus2024

Initial Experience of CT-Based Online Adaptive Radiotherapy for Nasopharyngeal Carcinoma With a Novel Integrated Platform: A Case Report.

Yu-Xian Yang, Lin Li, Gangyu Wang, Xiaobo Jiang, Hua Li, Le-Cheng Jia, Guanqun Zhou, Ying Sun

Abstract readCase Reports
In one paragraph

Article in Cureus, 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. Article
  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

8 authors.

Yu-Xian YangDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, CHN.
Lin LiDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, CHN.
Gangyu WangDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, CHN.
Xiaobo JiangDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, CHN.
Hua LiReal-time Laboratory, Shenzhen United Imaging Research Institute of Innovative Medical Equipment, Shenzhen, CHN.
Le-Cheng JiaReal-time Laboratory, Shenzhen United Imaging Research Institute of Innovative Medical Equipment, Shenzhen, CHN.
Guanqun ZhouDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, CHN.
Ying SunDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, CHN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intensity-modulated radiation therapy (IMRT) improves tumor control and reduces long-term radiation-induced complications of patients with nasopharyngeal carcinoma (NPC), contingent upon accurate contouring and precise delivery of treatment plans. Online adaptive radiotherapy (ART) involves real-time treatment plan modification based on the variations in targets and organs at risk (OARs) to uphold treatment planning accuracy. This study describes the first reported case of fan beam computed tomography (FBCT)-guided online ART for NPC using a novel integrated platform. Online ART was performed at the 25th fraction in this case, as tumors and the patient's anatomy were observed to regress inter-fractionally, necessitating adjustments to the contours based on the anatomy of the day. Online ART plan optimized target volume coverage while reducing doses to OARs. Notably, online ART significantly improved radiotherapy efficiency. This patient achieved a clinical complete response 12 weeks post-treatment, with Epstein-Barr virus DNA levels reduced to 0 copies/ml. Currently, the patient is alive without evidence of high-grade toxicity or local recurrence at approximately 10 months post-treatment. This case confirms the feasibility and dosimetric benefit of online ART for NPC using a novel integrated platform. Further research is needed to confirm its clinical benefits.

Indexed as

ct-guided online adaptive radiotherapydosimetric benefitfeasibilitynasopharyngeal carcinomanovel integrated platform

Identifiers

PMID39398669
PMCPMC11470842

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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.