Evidence map›Paper›PMID 40438525›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Presence of Tissue Expanders Does Not Affect Radiotherapy Dose Distribution to Heart and Lungs.

Jeewon Chon, Peter Laub, Mike Wesolowski, Safi Bajwa, Taylor Drew, Naomi Desai, Nazanin Azarvash, Jennifer S Wick, Timothy King

Erratum issuedAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Jeewon ChonFrom the Loyola University Stritch School of Medicine, Maywood, IL.
Peter LaubDepartment of Surgery, Division of Plastic and Reconstructive Surgery, Loyola University Medical Center, Maywood, IL.
Mike WesolowskiFrom the Loyola University Stritch School of Medicine, Maywood, IL.
Safi BajwaFrom the Loyola University Stritch School of Medicine, Maywood, IL.
Taylor DrewFrom the Loyola University Stritch School of Medicine, Maywood, IL.
Naomi DesaiFrom the Loyola University Stritch School of Medicine, Maywood, IL.
Nazanin AzarvashFrom the Loyola University Stritch School of Medicine, Maywood, IL.
Jennifer S WickDepartment of Radiation Oncology, Loyola University Medical Center, Maywood, IL.
Timothy KingDepartment of Surgery, Division of Plastic and Reconstructive Surgery, Loyola University Medical Center, Maywood, IL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Breast cancer treatment often involves mastectomy and postmastectomy radiotherapy (PMRT). PMRT rates are increasing and can improve outcomes in node-positive cases. Although the risks of PMRT to reconstructed breasts are known, the influence of tissue expanders (TEs) on radiation to nearby organs such as the heart and lungs remains unclear. Methods: Patients who underwent total mastectomy and completed a full course of PMRT with 3-dimensional computer tomography planning between January 2014 and August 2022 at Loyola University Medical Center were included. Patient dose statistics for ipsilateral lung, heart, and clinical target volume, as well as demographics, clinical characteristics, PRMT boost, and bolus were collected. Dose statistics for ipsilateral lung and heart were compared between mastectomy versus mastectomy + TE, and dose statistics were compared between dichotomized TE intraoperative fill volumes. Correlations between dose statistics and BMI were analyzed. Results: A total of 124 patients were included in the study. There were no significant differences in lung or heart radiotherapy across all dose metrics between patients who underwent mastectomy versus mastectomy + TE, or between patients with TE fill volume 60 mL or less versus 60 mL or more. Correlations between BMI and heart maximum dose ( Conclusions: The presence of TE and intraoperative expander fill volume did not affect dose distribution or complications to the organs at risk. Increased BMI correlated with an increased maximum dose to the heart.

Identifiers

PMID40438525
PMCPMC12119047

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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.