Evidence map›Paper›PMID 41048618›Full record

ArticleJournal of contemporary brachytherapy2025

Quality improvement methodology implementation for timely MRI-based brachytherapy treatment delivery in watch-and-wait expectant rectal cancer patients.

Rahul Krishnatry, Akshay Dinesan, Manideep Peddi, Shivakumar Gudi, Akshay Baheti, Yogesh G Ghadi, Satish Kohle, Reena Engineer

Abstract read
In one paragraph

Article in Journal of contemporary brachytherapy, 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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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

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0 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Rahul KrishnatryDepartment of Radiation Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Akshay DinesanDepartment of Radiation Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Manideep PeddiDepartment of Radiation Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Shivakumar GudiDepartment of Radiation Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Akshay BahetiDepartment of Radiology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Yogesh G GhadiDepartment of Medical Physics, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Satish KohleDepartment of Radiation Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.
Reena EngineerDepartment of Radiation Oncology, Tata Memorial Centre, Homi Bhabha National Institute (HBNI), Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Long-course chemoradiation followed by a brachytherapy boost is one of the acceptable treatment options for watch-and-wait (W&W) eligible rectal cancer patients. However, MRI acquisition, planning, and treatment delivery delays can affect patient satisfaction and treatment success. This study used the classical quality improvement methodology to optimise the MRI-based rectal brachytherapy process. Material and methods: A multidisciplinary core team was formed, including a radiation oncologist, radiologist, medical physicist, specialist technologist and nurse. Data on wait times from MRI to brachytherapy treatment were collected for patients receiving rectal brachytherapy between August and November 2022. We aimed to reduce the number of days of the gap between the planning MRI day and the treatment delivery day from a median (D Results: The post-implementation data at PDSA 1 and 2 from 14 patients each were analysed. The post-change D Conclusions: Using the classical quality improvement methodology, we sustainably reduced the delay between the planning MRI day and the treatment delivery day. These strategies may serve as a model for other institutions implementing MRI-based brachytherapy programmes for the W&W approach in suitable rectal cancer patients.

Indexed as

A3 methodologybrachytherapyMRIquality improvementrectal cancer

Identifiers

PMID41048618
PMCPMC12489540

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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.