Evidence map›Paper›PMID 40346123›Full record

ArticleScientific reports2025

Effect of jaw width in jaw tracking mode on the radiotherapy dose of partial arc VMAT in patients undergoing left breast-conserving surgery.

Hai-Liang Guo, Yan Huan, Jing-Hua Zhong, Hao-Wen Pang, Huai-Wen Zhang

Abstract read
In one paragraph

Article in Scientific reports, 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

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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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

5 authors.

Hai-Liang Guo *Department of Oncology, Jiangxi Clinical Research Center for Cancer, the First Affiliated Hospital of Gannan Medical University, First Clinical Medical College, Gannan Medical University, Ganzhou, 341000, China.
Yan Huan *Department of Oncology, People's Hospital of Qianxinan Buyi and Miao Minority Autonomous Prefecture, Qian xinan, Xingyi, 562400, China.
Jing-Hua ZhongDepartment of Oncology, Jiangxi Clinical Research Center for Cancer, the First Affiliated Hospital of Gannan Medical University, First Clinical Medical College, Gannan Medical University, Ganzhou, 341000, China. 413623991@qq.com.
Hao-Wen PangDepartment of Oncology, The Affiliated Hospital of Southwest Medical University, Luzhou, 646000, China. haowenpang@foxmail.com.
Huai-Wen ZhangDepartment of Radiotherapy, Jiangxi Clinical Research Center for Cancer, Jiangxi Cancer Hospital & Institute, The Second Affiliated Hospital of Nanchang Medical College, Nanchang, 330029, China. 1761580890@qq.com.

Funding

The Open Fund for Scientific Research of Jiangxi Cancer Hospital 2021J15
6 · The paper itself

Abstract

To analyze the effect of jaw width in jaw tracking mode on the dose of radiotherapy partial arc VMAT (P-VMAT) for patients undergoing left breast-conserving surgery and to explore the best jaw width as the initial inverse optimization parameter. Twenty patients who underwent left breast-conserving surgery were randomly selected. Six groups of P-VMAT plans were designed (named Plan0, Plan0.3, Plan0.6, Plan0.9, Plan-0.3, and Plan-0.6). The width of the jaw of each plan was changed in 0.3 cm steps along the X direction (from - 0.6 to 0.9 cm) according to the beginning of the half beam (Plan0). The PTV coverage, conformity index (CI), homogeneity index (HI), monitor units (MU) and organs at risk (OARs) dose were evaluated by repeated measurement data analysis of variance between plan0 and the other plans. Additionally, the correlations between CI, HI, MU and OARs to change in jaw width were analyzed using Spearman's bivariate correlation analysis. The PTV dose distributions of Plan-0.3 and Plan-0.6, which have smaller jaw widths than those of Plan0, did not meet the clinical requirements. CI, HI and MU were correlated with jaw width (r = 0.554, -0.501, -0.641, p < 0.05, respectively). The V5, V10, V20, V40, Dmean and Dmax of the heart were correlated with jaw width (r = 0.288, 0.284, 0.191, -0.27, 0.186, -0.245, p < 0.05, respectively). The V2.5, V5, V10, V20, V40 and Dmean of the left lung (Lung-L) were correlated with jaw width (0.298, 0.421, 0.516, 0.391, -0.241, 0.356, p < 0.05, respectively). Among all the plans to ensure PTV target coverage, Plan0 had the lowest clinical indicators for the heart and Lung-L (p < 0.05, respectively). The internal boundary of the jaw set as 0 cm (Plan0) represents the optimal jaw width for the initial optimization of the plan design. This method is the simplest and most effective for radiotherapy treatment planning for breast-conserving surgery for breast cancer as well as allows ideal dose distribution.

Indexed as

Breast NeoplasmsJawMastectomy, SegmentalRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedAdultFemaleHumansMiddle AgedOrgans at RiskRadiotherapy DosageDosimetryJaw widthLeft breast-conserving surgeryOrgan at riskPartial arc VMAT

Identifiers

PMID40346123
PMCPMC12064805

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LicenceCC BY-NC-ND
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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.