Evidence map›Paper›PMID 39668845›Full record

ArticlePhysics and imaging in radiation oncology2024

Multi-institutional experience treating patients with cardiac devices on a 1.5 Tesla magnetic resonance-linear accelerator and workflow development for thoracic treatments.

Rick Keesman, Erik van der Bijl, Linda G W Kerkmeijer, Neelam Tyagi, Osman Akdag, Jochem W H Wolthaus, Sandrine M G van de Pol, Juus L Noteboom, Martijn P W Intven, Martin F Fast and 1 more

Abstract read
In one paragraph

Article in Physics and imaging in radiation oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  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.

Rick KeesmanDepartment of Radiation Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
Erik van der BijlDepartment of Radiation Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
Linda G W KerkmeijerDepartment of Radiation Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
Neelam TyagiDepartment of Medical Physics, Memorial Sloan-Kettering Cancer Center, NY, USA.
Osman AkdagDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Jochem W H WolthausDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Sandrine M G van de PolDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Juus L NoteboomDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Martijn P W IntvenDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Martin F FastDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Astrid L H M W van LierDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Background and purpose: Patients with cardiac implantable electronic devices (CIED patients) are often ineligible for online magnetic resonance-guided radiotherapy (MRgRT), most likely due to the absence of established guidelines. Existing radiotherapy (RT) and magnetic resonance imaging (MRI) guidelines offer an opportunity to construct MRgRT protocols, promoting equitable access. Our objective was to present such a workflow, share multi-institutional experiences treating CIED patients with MRgRT on a 1.5 T magnetic resonance-linear accelerator (MR-linac), and investigate geometric accuracy and electrocardiogram (ECG) monitoring for thoracic treatment. Materials and methods: A risk analysis identified strategies for safe MRgRT for CIED patients. At three institutions, 21 pelvic and abdominal patients were treated. Patient records were analyzed for adverse events. Geometric accuracy was investigated using B Results: MRI and RT workflows were adaptable to MRgRT. No adverse events were recorded. B Conclusions: CIED patients can safely undergo treatment on a 1.5 T MR-linac following RT and MRI guidelines. For targets near CIEDs, a B

Indexed as

CIEDMRgRTMR-linac

Identifiers

PMID39668845
PMCPMC11636337

What OpenQuestion holds

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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.