Evidence map›Paper›PMID 39632357›Full record

ArticleAsia-Pacific journal of clinical oncology2025

Post-Prostatectomy Magnetic Resonance-Guided Radiotherapy on a 1.5 Tesla Magnetic Resonance Integrated Linear Accelerator: Feasibility, Toxicity, and Preliminary Clinical Outcomes.

Darren M C Poon, Jing Yuan, Oi Lei Wong, Bin Yang, Mei Yan Tse, Yan Yee Fung, Sin Ting Chiu, Wai Chi Lin, Kin Yin Cheung, George Chiu and 1 more

Abstract read
In one paragraph

Article in Asia-Pacific journal of clinical oncology, 2025. 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. 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

11 authors.

Darren M C PoonComprehensive Oncology Center, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong SAR.
Jing YuanResearch Department, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong SAR.
Oi Lei WongResearch Department, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong SAR.ORCID https://orcid.org/0000-0001-6357-5010
Bin YangMedical Physics Department, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong SAR.
Mei Yan TseMedical Physics Department, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong SAR.
Yan Yee FungResearch Department, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong SAR.
Sin Ting ChiuDepartment of Radiotherapy, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong SAR.
Wai Chi LinResearch Department, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong SAR.
Kin Yin CheungMedical Physics Department, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong SAR.
George ChiuDepartment of Radiotherapy, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong SAR.
Siu Ki YuMedical Physics Department, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong SAR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to prospectively investigate magnetic resonance (MR)-guided radiotherapy (MRgRT) for post-prostatectomy prostate cancer and report preliminary clinical outcomes.

methodsAll included patients underwent salvage or adjuvant adaptive MRgRT on a 1.5T MR integrated linear accelerator (MR-LINAC). Gastrointestinal and genitourinary toxicities were assessed. The primary endpoint was the progression-free survival (PFS) rate estimated by Kaplan-Meier (KM) survival analysis. A progression event was defined as the first occurrence of biochemical failure, radiological progression, or death. Secondary endpoints were biochemical failure-free survival (bFFS) rate, radiological PFS (rPFS) rate, and ≥G2 adverse events.

resultsThirty post-prostatectomy patients were enrolled and followed (median follow-up: 32.0 months; 3.0-48.1 months). Three patients had biochemical failure during follow-up. One patient developed pelvic node metastases. All patients were alive. The estimated PFS rates were 96.4% (95% confidence interval [95%CI]: 89.8%-100.0%) at 2 years and 78.8% (95%CI: 61.3%-100%) at 3 years. The estimated bFFS rates were 96.4% (95%CI: 89.8%-100%) /86.6%(95%CI: 73.4%-100%) at 2/3 years, respectively. The corresponding rPFS rates were 100% at 2 years and 92.3% (95%CI: 78.9%-100%) at 3 years, respectively. There was only one acute G2 GI adverse event (1/30, 3.33%) of abdominal pain occurred. Two late G2 events (one rectal bleeding and one urinary frequency) were scored (2/30, 6.67%). No ≥G3 events were observed.

conclusionOur findings suggest the feasibility, excellent patient tolerance, and encouraging efficacy of post-prostatectomy MRgRT, extending our knowledge of the clinical outcomes of MRgRT and serving as a benchmark for future investigation.

Indexed as

Magnetic Resonance ImagingProstatectomyProstatic NeoplasmsRadiotherapy, Image-GuidedAgedFeasibility StudiesHumansMaleMiddle AgedParticle AcceleratorsProspective StudiesTreatment Outcomebiochemical recurrence (BCR)magnetic resonance‐guided radiotherapy (MRgRT)progression‐free survival (PFS)prostate cancer (PC)toxicity

Identifiers

PMID39632357
PMCPMC12033039

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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.