Evidence map›Paper›PMID 40191051›Full record

ArticleJournal of contemporary brachytherapy2025

Diaphragm and lung dose in liver high-dose-rate interstitial brachytherapy: A dosimetry and toxicity report.

Keerthaanaa Yogabalan, Gokula Kumar Appalanaido, Ch'ng Ewe Seng, Jasmin Bin Jalil, Jayapramila Jayamani, Nor Hafizah Ishak, Nursyatina Abdul Raof, Reduan Bin Abdullah, Ahamed Badusha Mohamed Yoosuf, Muhamad Zabidi Ahmad and 2 more

Abstract read
In one paragraph

Article in Journal of contemporary brachytherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

12 authors.

Keerthaanaa YogabalanAdvanced Management of Liver Malignancies Program, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Penang, Malaysia.
Gokula Kumar AppalanaidoAdvanced Management of Liver Malignancies Program, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Penang, Malaysia.
Ch'ng Ewe SengClinical Diagnostic Lab, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Penang, Malaysia.
Jasmin Bin JalilRadiotherapy Unit, Pusat Perubatan Universiti Sains Malaysia Bertam, Penang, Malaysia.
Jayapramila JayamaniMedical Radiation Programme, School of Health Science, Universiti Sains Malaysia, Kelantan, Malaysia.
Nor Hafizah IshakRadiotherapy Unit, Pusat Perubatan Universiti Sains Malaysia Bertam, Penang, Malaysia.
Nursyatina Abdul RaofRadiotherapy Unit, Pusat Perubatan Universiti Sains Malaysia Bertam, Penang, Malaysia.
Reduan Bin AbdullahMedical Radiation Programme, School of Health Science, Universiti Sains Malaysia, Kelantan, Malaysia.
Ahamed Badusha Mohamed YoosufOncology, King Adullah International Medical Research Center, Riyadh, Saudi Arabia.
Muhamad Zabidi AhmadAdvanced Medical and Dental Institute Universiti Sains Malaysia, Penang, Malaysia.
Bazli Md YusoffSchool of Medical Science, Universiti Sains Malaysia, Kelantan, Malaysia.
Mohd Zahri Abdul AzizAdvanced Management of Liver Malignancies Program, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Penang, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The aim of this study was to retrospectively analyze and report on dose-volume and clinical toxicity of liver high-dose-rate interstitial brachytherapy (HDR-IBT) used in diaphragm and lung tissue. Material and methods: Computed tomography (CT)-based liver HDR-IBT using Oncentra Brachy treatment planning system (TPS) plans of patients with malignant liver tumor (MLT) from September 2018 to June 2023 were reviewed to identify patients, whose diaphragm and lung tissue were within 100% prescription isodose. These organs at risk (OARs) were contoured in axial CT slices. Maximum point dose (D Results: The analysis included 27 patients with 43 and 36 MLTs, whose 100% prescription isodose of liver HDR-IBT plan was within diaphragm and lung tissue. Median prescription dose was 25 Gy (range, 15-25 Gy) in single-fraction. Median D Conclusions: This is the first publication reporting diaphragm and lung tissue dose-volume and clinical toxicity in liver HDR-IBT. Small volume of diaphragm and lung tissue tolerated extreme high radiation doses [5 times of stereotactic body radiotherapy (SBRT) range in single fraction] without clinically significant toxicity. A standardized reporting for diaphragm and lung dose volume is needed for future liver HDR-IBT studies. The results of the current study can be employed in future for expanded indication of brachytherapy, such as CT-guided trans-thoracic lung brachytherapy.

Indexed as

diaphragm radiation toleranceliver brachytherapyliver HDR-IBTlung radiation tolerance

Identifiers

PMID40191051
PMCPMC11966225

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LicenceCC BY-NC-SA
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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.