Evidence map›Paper›PMID 40805291›Full record

ArticleCancers2025

Multi-Institutional Comparison of Ablative 5-Fraction Magnetic Resonance-Guided Online Adaptive Versus 15/25-Fraction Computed Tomography-Guided Moderately Hypofractionated Offline Adapted Radiation Therapy for Locally Advanced Pancreatic Cancer.

Michael D Chuong, Eileen M O'Reilly, Robert A Herrera, Melissa Zinovoy, Kathryn E Mittauer, Muni Rubens, Adeel Kaiser, Paul B Romesser, Nema Bassiri-Gharb, Abraham J Wu and 8 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

18 authors.

Michael D ChuongDepartment of Radiation Oncology, Miami Cancer Institute, Miami, FL 33176, USA.ORCID 0000-0001-8328-7518
Eileen M O'ReillyDepartment of Medical Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.ORCID 0000-0002-8076-9199
Robert A HerreraDepartment of Radiation Oncology, Miami Cancer Institute, Miami, FL 33176, USA.ORCID 0000-0003-1027-8981
Melissa ZinovoyDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
Kathryn E MittauerDepartment of Radiation Oncology, Miami Cancer Institute, Miami, FL 33176, USA.
Muni RubensOffice of Clinical Research, Miami Cancer Institute, Miami, FL 33176, USA.
Adeel KaiserDepartment of Radiation Oncology, Miami Cancer Institute, Miami, FL 33176, USA.ORCID 0000-0003-1962-8351
Paul B RomesserDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.ORCID 0000-0001-8268-2903
Nema Bassiri-GharbDepartment of Radiation Oncology, Miami Cancer Institute, Miami, FL 33176, USA.
Abraham J WuDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.ORCID 0000-0002-2597-7091
John J CuaronDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
Alonso N GutierrezDepartment of Radiation Oncology, Miami Cancer Institute, Miami, FL 33176, USA.
Carla HajjDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.ORCID 0000-0001-8774-1845
Antonio UcarDepartment of Medical Oncology, Miami Cancer Institute, Miami, FL 33176, USA.
Fernando DeZarragaDepartment of Medical Oncology, Miami Cancer Institute, Miami, FL 33176, USA.
Santiago AparoDepartment of Medical Oncology, Miami Cancer Institute, Miami, FL 33176, USA.
Christopher H CraneDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
Marsha ReyngoldDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundRadiation dose escalation for locally advanced pancreatic cancer (LAPC) using stereotactic magnetic resonance (MR)-guided online adaptive radiation therapy (SMART) or computed tomography (CT)-guided moderately hypofractionated ablative radiation therapy (HART) can achieve favorable outcomes although have not previously been compared.

methodsWe performed a multi-center retrospective analysis of SMART (50 Gy/5 fractions) vs. HART (75 Gy/25 fractions or 67.5 Gy/15 fractions with concurrent capecitabine) for LAPC. Gray's test and Cox proportional regression analyses were performed to identify factors associated with local failure (LF) and overall survival (OS).

resultsA total of 211 patients (SMART,

conclusionsAblative SMART and HART both achieve favorable oncologic outcomes for LAPC with minimal toxicity. We did not observe an OS difference, although technical advantages of SMART might improve target coverage and reduce LF.

Indexed as

ablative radiation therapyadaptive radiation therapyCT-guided radiotherapyimage-guided radiotherapymagnetic resonance imaging (MRI)MR-guided radiotherapypancreatic cancerSMART

Identifiers

PMID40805291
PMCPMC12345848

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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.