Evidence map›Paper›PMID 41228368›Full record

ArticleCancers2025

An International Inter-Consortium Validation of Knowledge-Based Plan Prediction Modeling for Whole Breast Radiotherapy Treatment.

Lorenzo Placidi, Peter Griffin, Roberta Castriconi, Alessia Tudda, Giovanna Benecchi, Mark Burns, Elisabetta Cagni, Cathy Markham, Valeria Landoni, Eugenia Moretti and 8 more

Registry-linked trialAbstract 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. It is linked to trial NCT06317948 (Improving the Quality of Radiotherapy by Multi-Institution Knowledge-Based Planning Optimization Models), which is not on this map. Not yet cited in PubMed.

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

NCT06317948 unknown statusnot on this map

Improving the Quality of Radiotherapy by Multi-Institution Knowledge-Based Planning Optimization Models

TypeobservationalSponsorIRCCS Ospedale San RaffaeleRan2022 to 2025Enrolled1,000ConditionsBreast Cancer, Prostate CancerArmstreatment plan comparison
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Lorenzo PlacidiDepartment of Diagnostic Imaging, and Oncological Radiotherapy, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, 00195 Rome, Italy.ORCID 0000-0003-0058-9145
Peter GriffinAlfred Health Radiation Oncology, The Alfred Hospital, Melbourne, VIC 3004, Australia.
Roberta CastriconiMedical Physics Department, IRCCS San Raffaele Scientific Institute, 20132 Milano, Italy.ORCID 0000-0003-2452-1305
Alessia TuddaMedical Physics Department, IRCCS San Raffaele Scientific Institute, 20132 Milano, Italy.ORCID 0000-0002-9534-0141
Giovanna BenecchiMedical Physics Department, University Hospital of Parma AOUP, 43126 Parma, Italy.
Mark BurnsDepartment of Radiation Therapy Services, Peter MacCallum Cancer Centre, Melbourne, VIC 3000, Australia.ORCID 0009-0001-2173-2564
Elisabetta CagniMedical Physics Unit, Department of Advanced Technology, Azienda USL-IRCCS di Reggio Emilia, 42122 Reggio Emilia, Italy.ORCID 0000-0002-7080-5758
Cathy MarkhamDepartment of Radiation Therapy Services, Peter MacCallum Cancer Centre, Melbourne, VIC 3000, Australia.
Valeria LandoniAO San Camillo Forlanini, UOC Fisica Sanitaria, 00152 Rome, Italy.ORCID 0000-0003-1160-3985
Eugenia MorettiDepartment of Medical Physics, University Hospital, 33100 Udine, Italy.
Caterina OlivieroUniversity Hospital ''Federico II", 80131 Napoli, Italy.
Giulia Rambaldi GuidasciUOC di Radioterapia Oncologica, Ospedale Isola Tiberina-Gemelli, 00186 Rome, Italy.
Guenda MeffeOperative Research Unit of Radiation Oncology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.ORCID 0009-0005-7673-7740
Tiziana RancatiData Science Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milano, Italy.ORCID 0000-0002-7849-603X
Alessandro ScaggionMedical Physics Department, Veneto Institute of Oncology IOV-IRCCS, 35128 Padua, Italy.ORCID 0000-0002-1933-5658
Karen McGoldrickDepartment of Radiation Therapy Services, Peter MacCallum Cancer Centre, Melbourne, VIC 3000, Australia.
Vanessa PanettieriDepartment of Physical Sciences, Peter MacCallum Cancer Centre, Melbourne, VIC 3000, Australia.
Claudio FiorinoMedical Physics Department, IRCCS San Raffaele Scientific Institute, 20132 Milano, Italy.ORCID 0000-0002-0013-8494

Funding

Italian Association for Cancer Research IG23150
6 · The paper itself

Abstract

backgroundKnowledge-based (KB) planning is a promising approach to model prior planning experience and optimize radiotherapy. To enable the sharing of models across institutions, their transferability must be evaluated. This study aimed to validate KB prediction models developed by a national consortium using data from another multi-institutional consortium in a different country.

methodsTen right whole breast tangential field (RWB-TF) models were built within the national consortium. A cohort of 20 patients from the external consortium was used for testing. Transferability was defined when the ipsilateral (IPSI) lung first principal component (PC1) was within the 10th-90th percentile of the training set. Predicted dose-volume parameters were compared with clinical dose-volume histograms (cDVHs).

resultsPlanning target volume (PTV) coverage strategies were comparable between the two consortia, even though significant volume differences were observed for the PTV and contralateral breast (

conclusionsThis study demonstrates the feasibility of applying RWB-TF KB models beyond the consortium in which they were developed, supporting broader clinical implementation. This retrospective study was supported by AIRC (Associazione Italiana per la Ricerca sul Cancro) and registered on ClinicalTrials.gov (NCT06317948, 12 March 2024).

Indexed as

international consortiaknowledge-based plan predictionmodels’ transferabilitywhole-breast radiotherapy

Identifiers

PMID41228368
PMCPMC12610825

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Registered trials

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.