Evidence map›Paper›PMID 40853545›Full record

ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2025

Long-term clinical results of early-stage lung cancer patients treated with risk-adapted stereotactic body radiotherapy using LINAC or CyberKnife : A single-institution analysis of more than 400 cases.

Zsolt Levente Jánváry, András Bajcsay, Gábor Stelczer, Gábor Kontra, Tamás Pócza, Mercédesz Gerdán, József Lövey, Zsuzsa S Kocsis, Katalin Ladányi, Éva Pap and 2 more

Abstract read
In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

12 authors.

Zsolt Levente JánváryCenter of Radiotherapy, National Institute of Oncology, Budapest, Hungary. janvarylevente@gmail.com.ORCID 0000-0002-4583-4901
András BajcsayCenter of Radiotherapy, National Institute of Oncology, Budapest, Hungary.
Gábor StelczerCenter of Radiotherapy, National Institute of Oncology, Budapest, Hungary.
Gábor KontraCenter of Radiotherapy, National Institute of Oncology, Budapest, Hungary.
Tamás PóczaCenter of Radiotherapy, National Institute of Oncology, Budapest, Hungary.
Mercédesz GerdánDepartment of Nuclear Techniques, Institute of Nuclear Techniques, Budapest University of Technology and Economics, Budapest, Hungary.
József LöveyDepartment of Oncology, Oslo University Hospital, Norway, Oslo, Norway.
Zsuzsa S KocsisDepartment of Radiobiology and Diagnostic Onco-Cytogenetics, Center of Radiotherapy, National Institute of Oncology, Budapest, Hungary.
Katalin LadányiCenter of Radiotherapy, National Institute of Oncology, Budapest, Hungary.
Éva PapCenter of Radiotherapy, National Institute of Oncology, Budapest, Hungary.
Tibor MajorCenter of Radiotherapy, National Institute of Oncology, Budapest, Hungary.
Csaba PolgárCenter of Radiotherapy, National Institute of Oncology, Budapest, Hungary.

Funding

National Research, Development and Innovation Fund of the Ministry of Culture and Innovation National Tumor Biology Laboratory
6 · The paper itself

Abstract

purposeThe aim of the study was to evaluate the clinical efficacy and side effects of stereotactic body radiotherapy (SBRT) using a gantry-based linear accelerator (LINAC) or robotic technique in a large cohort of consecutively treated medically inoperable early-stage lung cancer patients.

methodsBetween March 2015 and February 2023, 401 early-stage (T1-2 N0 M0) primary lung cancer patients were treated using either LINACs (Varian VitalBeam® and TrueBeam®; Varian, Palo Alto, CA, USA) or CyberKnife® (Accuray, Madison, WI, USA). Median age was 70 years (range 44-90). Diagnosis was based on biopsy for 37.4% of patients, while pathological confirmation was unavailable due to high risk for 62.6%.

resultsAt a median follow-up of 32 months (range 2-104), the crude survival rate was 58%. Median overall survival (OS) was 63 months (95% CI: 51.1-74.8) the 2‑, 3‑, and 4‑year OS rates were 79, 68, and 56%, respectively. Actuarial local control (LC) rates were 94% at 2 years, 90% at 3 years, and 87% at 4 years. Median LC was not reached. Median local progression-free survival (LPFS) and progression-free survival (PFS) rates were 49.5 months (95% CI: 42.8-56.3) and 37 months (95% CI: 31.2.-42.8), respectively. Actuarial 2‑, 3‑, and 4‑year LPFS and PFS rates were 75, 60, and 51% and 66, 51, and 42%, respectively. On multivariate analysis, BED

conclusionClinical results after SBRT at a national comprehensive cancer center demonstrate high LC and LPFS rates and favorable PFS and OS, comparable to published studies. Application of a BED

Indexed as

Lung NeoplasmsRadiosurgeryAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm StagingParticle AcceleratorsTreatment OutcomeImage guided radiotherapyLung cancerRisk-adapted radiotherapyStereotactic ablative radiotherapyStereotactic body radiotherapy

Identifiers

PMID40853545
PMCPMC12546400

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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.