Evidence map›Paper›PMID 40595224›Full record

ArticleScientific reports2025

Computed tomography guided high dose rate brachytherapy for induced oligoprogression of colorectal cancer liver metastases.

Paweł Cisek, Łukasz Kuncman, Barbara Alicja Jereczek-Fossa, Ewa Wojtyna, Magdalena Orzechowska, Sylwia Sroka, Izabela Kordzińska-Cisek, Jacek Fijuth, Mateusz Bilski

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 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

9 authors.

Paweł CisekDepartment of Brachytherapy, Saint John's Cancer Center, Lublin, Poland.
Łukasz KuncmanDepartment of Radiotherapy, Medical University of Lodz, Lodz, Poland. lukasz.kuncman@umed.lodz.pl.
Barbara Alicja Jereczek-FossaDepartment of Radiation Oncology, European Institute of Oncology IRCCS, 20141, Milan, Italy.
Ewa WojtynaDepartment of Medical Physics, Saint John's Cancer Center, Lublin, Poland.
Magdalena OrzechowskaDepartment of Molecular Carcinogenesis, Medical University of Lodz, Lodz, Poland.
Sylwia SrokaDepartment of Medical Physics, Saint John's Cancer Center, Lublin, Poland.
Izabela Kordzińska-CisekDepartment of Oncology, Saint John's Cancer Center, Lublin, Poland.
Jacek FijuthDepartment of Radiotherapy, Medical University of Lodz, Lodz, Poland.
Mateusz BilskiDepartment of Brachytherapy, Saint John's Cancer Center, Lublin, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Data on the efficacy of computer tomography guided brachytherapy (CT-BRT) for limited liver metastases is lacking; to assess CT-BRT's role in inducedoligoprogression in colorectal cancer (CRC), we performed a retrospective cohort study on CRC patients with metastatic disease, treated with 2-5 lines of systemic therapy, who achieved induced oligoprogression with up to four liver metastases eligible for CTBRT. In 75 patients, median overall survival (mOS) was 17 months, and median progression-free survival (mPFS) was 10 months during a 16-month follow-up. The mOS was not dose-dependent. Complete response (CR), partial response (PR), stable disease (SD), and progressive disease (PD) were found in 8, 31, 47, and 15%, respectively. The mOS in patients with CR, PR, SD, and PD was 23, 17, 14, and 11 months, respectively. Disease Control Rate (DCR) with a high dose influenced OS, while PFS was impacted by extrahepatic metastases (especially in abdominal/pelvic lymph nodes), the number of metastases, and DCR with a high dose. Treatment toxicity was very low (Grade 3-1%, > Grade 3-0%). We report the largest cohort demonstrating CT-BRT as an effective local treatment for colorectal liver metastases in induced oligoprogression, with minimal toxicity.

Indexed as

BrachytherapyColorectal NeoplasmsLiver NeoplasmsRadiotherapy, Image-GuidedTomography, X-Ray ComputedAdultAgedAged, 80 and overDisease ProgressionFemaleHumansMaleMiddle AgedRadiotherapy DosageRetrospective StudiesTreatment OutcomeBrachytherapyLiver metastasesMetastasis-directed therapyOligoprogression

Identifiers

PMID40595224
PMCPMC12216604

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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.