Evidence map›Paper›PMID 40438564›Full record

ArticleClinical and translational radiation oncology2025

Same-Day Magnetic Resonance-Guided Single-Fraction Stereotactic Body Radiation Therapy for Painful Non-Spine Bone Metastases - A Single-Center Study ("BONE SHOT").

Sebastian M Christ, Eva-Maria Kretschmer, Michael Mayinger, Madalyne Day, Nienke Weitkamp, Amanda Kristina Moreira, Stefanie Ehrbar, Cäcilia S Reiner, Marta Bogowicz, Lotte Wilke and 4 more

Abstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. Review
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

14 authors.

Sebastian M ChristDepartment of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Eva-Maria KretschmerDepartment of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Michael MayingerDepartment of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Madalyne DayDepartment of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Nienke WeitkampDepartment of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Amanda Kristina MoreiraDepartment of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Stefanie EhrbarDepartment of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Cäcilia S ReinerInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Marta BogowiczDepartment of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Lotte WilkeDepartment of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Stephanie Tanadini-LangDepartment of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Nicolaus AndratschkeDepartment of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Helena I Garcia SchülerDepartment of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Matthias GuckenbergerDepartment of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction and background: There is evidence for efficacy of high-dose single-fraction stereotactic body radiotherapy (SF-SBRT) for painful non-spine bone metastases (NSBMs). This study ("BONE SHOT") assessed feasibility of same-day magnetic resonance-guided (MRg) planning and SF-SBRT delivery, recorded toxicity and assessed efficacy for treating metastatic patients with NSBMs. Materials and methods: Patients with painful (≥3/10 points on a 0-10 numeric rating scale (NRS) for pain) and radiologically confirmed NSBMs from solid organ malignancies were eligible for this prospectively acquired, single-center study. Patients received MRg-SF-SBRT via MR-Linac (ViewRay®) with same-day consultation, consent, planning and treatment. Drop-out rate, procedure times, acute toxicity and pain response were recorded. Results: Between June 2019 and June 2020, 13 patients with 15 NSBMs were treated per protocol. Mean patient age was 64 (range, 30-87) years; most common primary cancer was gastrointestinal malignancies (38.5 %); most commonly treated site was pelvis (53.3 %). All workflows were completed as planned. Median on-table time for contouring, planning and delivery was 65 (range, 57-112) minutes. Treatments were well tolerated; one patient developed "pain flair"; no grade ≥ 3 toxicities were registered. At one week following SBRT, overall and complete pain response rates were 73.3 % and 20.0 %, respectively, which evolved to 66.7 % and 53.3 % at four weeks after SBRT; median pre-treatment pain score was 6 points, which was reduced by a median of 5 points (P = 0.0028) at four weeks. Conclusion: The same-day MRg-SF-SBRT workflow for NSBMs was feasible, safe, and preliminary results indicate promising efficacy, warranting future trials investigating this intervention.

Indexed as

Bone metastasesMR-LinacPalliative radiotherapySBRT

Identifiers

PMID40438564
PMCPMC12117186

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