Evidence map›Paper›PMID 40080327›Full record

ArticleLa Radiologia medica2025

Comprehensive cohort study: computer tomography-guided high-dose rate brachytherapy as metastasis-directed therapy for liver metastases from colorectal cancer in repeat oligoprogression.

Mateusz Bilski, Katarzyna Korab, Magdalena Orzechowska, Julia Ponikowska, Paweł Cisek, Barbara Alicja Jereczek-Fossa, Jacek Fijuth, Łukasz Kuncman

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Article in La Radiologia medica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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

8 authors.

Mateusz BilskiDepartment of Brachytherapy, Saint John's Cancer Center, Lublin, Poland.
Katarzyna KorabDepartment of Medical Physics, Saint John's Cancer Center, Lublin, Poland.
Magdalena OrzechowskaDepartment of Molecular Carcinogenesis, Medical University of Lodz, Lodz, Poland.
Julia PonikowskaDepartment of Medical Physics, Saint John's Cancer Center, Lublin, Poland.
Paweł CisekDepartment of Brachytherapy, Saint John's Cancer Center, Lublin, Poland.
Barbara Alicja Jereczek-FossaDivision of Radiation Oncology, European Institute of Oncology IRCCS, 20141, Milan, Italy.
Jacek FijuthDepartment of Radiotherapy, Medical University of Lodz, Lodz, Poland.
Łukasz KuncmanDepartment of Radiotherapy, Medical University of Lodz, Lodz, Poland. lukasz.kuncman@umed.lodz.pl.ORCID http://orcid.org/0000-0003-3568-269X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe standard treatment for oligometastatic colorectal cancer includes systemic therapy, with surgery and metastasis-directed therapy as options. The optimal strategy, especially for repeat oligoprogression (rOP), remains unclear. We report outcomes of liver computer tomography-guided high-dose rate brachytherapy (CT-BRT) in this setting.

methodsThis retrospective cohort study included colorectal cancer patients with liver-only oligoprogression during systemic therapy, meeting criteria of up to 5 liver metastases, CT-BRT eligibility, and ECOG status ≤ 2. Patients were followed for local response, progression-free survival (PFS), overall survival (OS), and toxicity. Response, according to RECIST 1.1, was initiated 6 months post-CT-BRT.

resultsA total of 262 metastases were treated in 127 patients, with 67.7% receiving third-line or later systemic therapies. One to four liver metastases were found in 29.1%, 42.5%, 21.2%, and 7.1% of patients, respectively, with a median volume of 128 cm

conclusionsThis largest study documents favorable outcomes of liver CT-BRT for rOP, establishing this method as a viable option in this indication.

Indexed as

BrachytherapyColorectal NeoplasmsLiver NeoplasmsRadiotherapy, Image-GuidedTomography, X-Ray ComputedAdultAgedAged, 80 and overCohort StudiesDisease ProgressionFemaleHumansMaleMiddle AgedRadiotherapy DosageRetrospective StudiesBrachytherapyColorectal cancerComputer tomography (CT)-guided high-dose rate (HDR) brachytherapy (BRT)Interventional radiotherapy (I-RT)Liver cancerLiver metastasesLiver radiotherapyMetastasis directed therapyOligometastatic disease

Identifiers

PMID40080327
PMCPMC12106498

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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.