Evidence map›Paper›PMID 40759943›Full record

ArticleBiomedical engineering online2025

Effects of intensity-modulated radiotherapy (IMRT) and volumetric modulated arc therapy (VMAT) on survival benefits and poor prognostic factors in patients with cervical cancer.

Meili Li, Xiuhong Wu, Xiang Liu, Meiru Wen

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Article in Biomedical engineering online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Meili LiRadiation Therapy Center, Ganzhou Cancer Hospital, Ganzhou, 341000, Jiangxi, People's Republic of China.
Xiuhong WuRadiation Therapy Center, Ganzhou Cancer Hospital, Ganzhou, 341000, Jiangxi, People's Republic of China.
Xiang LiuRadiation Therapy Center, Ganzhou Cancer Hospital, Ganzhou, 341000, Jiangxi, People's Republic of China.
Meiru WenDepartment of Imaging, Ganzhou Cancer Hospital, No.19 Huayuanqian Road, Shuidong Town, Zhanggong District, Ganzhou, 341000, Jiangxi, People's Republic of China. wenmeirudr@21cn.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to explore the influencing factors of survival benefit and poor prognosis of cervical cancer patients under different radiotherapy modalities.

methodsA total of 186 patients with cervical cancer treated in our hospital from January 2022 to December 2023 were selected for the retrospective analysis. 126 patients received static intensity-modulated radiation therapy (IMRT) combined with cisplatin. Another 60 cases received volumetric modulated arc therapy (VMAT) combined with cisplatin. The occurrence of adverse reactions, overall survival rate, and recurrence rate were compared between the two groups. COX regression model was used to analyze the influencing factors of the poor prognosis.

resultsThere was no difference between the disease control rate (DCR) and objective remission rate (ORR), and the overall survival and recurrence rates in the two groups. The incidence of myelosuppression was much higher in the IMRT group than the VMAT group. Compared with the survival group, the percentage of lymph node metastasis (LNM) and positive margins were significantly increased in the patients in the death group. COX multifactorial analysis confirmed that LNM and positive cutting margins were independent risk factors affecting poor prognosis after radiotherapy in cervical cancer patients (P < 0.05).

conclusionBoth IMRT and VMAT could achieve certain effects in the treatment of cervical cancer and had similar effects in short-term survival recurrence. However, VMAT had a lower incidence of myelosuppression. LNM and positive margins were factors influencing the poor prognosis of patients.

Indexed as

Radiotherapy, Intensity-ModulatedUterine Cervical NeoplasmsAdultAgedFemaleHumansMiddle AgedPrognosisRetrospective StudiesCervical cancerPrognosisRadiotherapy modalityRecurrenceSurvival benefit

Identifiers

PMID40759943
PMCPMC12323269

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