Evidence map›Paper›PMID 39444538›Full record

ReviewClinical and translational radiation oncology2024

Reirradiation - still navigating uncharted waters?

Nicolaus Andratschke, Jonas Willmann, Ane L Appelt, Madalyne Day, Camilla Kronborg, Mariangela Massaccesi, Mahmut Ozsahin, David Pasquier, Primoz Petric, Oliver Riesterer and 3 more

Abstract readReview
In one paragraph

Review 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. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. A dedicated institutional clinical workflow and peer-review meeting for reirradiation.Technical innovations & patient support in radiation oncology · 2026
    Article
  4. A reirradiation workflow for managing patients with treatments planned in a multi-TPS environment.Technical innovations & patient support in radiation oncology · 2026
    Article
  5. Review
  6. Article
  7. Multi-institutional virtual peer review for reirradiation: dedicated workflow and one-year results.Technical innovations & patient support in radiation oncology · 2025
    Article
  8. Enhancing Expertise in Reirradiation: Results from a Training Workshop Organized by Unicancer, the Federation of French Cancer Centers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Article
  9. Review
  10. Evaluation of tattoo reliability in breast cancer re-irradiation.Technical innovations & patient support in radiation oncology · 2025
    Article
  11. Article
  12. Article
  13. Review
  14. Review
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.

Nicolaus AndratschkeDepartment of Radiation Oncology, University Hospital of Zurich, University of Zurich, Switzerland.
Jonas WillmannDepartment of Radiation Oncology, University Hospital of Zurich, University of Zurich, Switzerland.
Ane L AppeltLeeds Institute of Medical Research at St James's, University of Leeds, UK.
Madalyne DayDepartment of Radiation Oncology, University Hospital of Zurich, University of Zurich, Switzerland.
Camilla KronborgDanish Centre for Particle Therapy, Aarhus University Hospital, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Mariangela MassaccesiDepartment of Radiology, Radiation Oncology and Hematology, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
Mahmut OzsahinHôpital Riviera-Chablais, Rennaz, Switzerland.
David PasquierAcademic Department of Radiation Oncology, Centre O Lambret, Lille, France.
Primoz PetricDepartment of Radiation Oncology, University Hospital of Zurich, University of Zurich, Switzerland.
Oliver RiestererCantonal Hospital Aarau, Aarau, Switzerland.
Dirk De RuysscherMaastricht University Medical Center+, Department of Radiation Oncology (Maastro), GROW School and Erasmus MC Cancer Institute, University Medical Center Rotterdam, the Netherlands.
Joanne M Van der VeldenDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, the Netherlands.
Matthias GuckenbergerDepartment of Radiation Oncology, University Hospital of Zurich, University of Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With the emergence of high-precision radiotherapy technologies such as stereotactic ablative radiotherapy (SABR), MR guided brachytherapy, image guided intensity modulated photon and proton radiotherapy and most recently daily adaptive radiotherapy, reirradiation is increasingly recognized as a viable treatment option for many patients. This includes those with recurrent, metastatic or new malignancies post initial radiotherapy. The primary challenge in reirradiation lies in balancing tumor control against the risk of severe toxicity from cumulative radiation doses to previously irradiated normal tissue. Although technology for precise delivery has advanced at a fast pace, clinical practice of reirradiation still mostly relies on individual expertise, as prospective evidence is scarce, the level of reporting in clinical studies is not standardized and of low quality - especially with respect to cumulative doses received by organs at risk. A recent ESTRO/EORTC initiative proposed a standardized definition of reirradiation and formulated general requirements for minimal reporting in clinical studies [1]. As a consequence we found it timely to convene for an international and interdisciplinary meeting with experts in the field to summarize the current evidence, identify knowledge gaps and explore which best practices can be derived for safe reirradiation. The meeting was held on 15.06.2023 in Zurich and was endorsed by the scientific societies SASRO, DEGRO and ESTRO. Here, we report on available evidence and research priorities in the field of reirradiation, as discussed during the meeting.

Identifiers

PMID39444538
PMCPMC11497423

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.