Evidence map›Paper›PMID 41525208›Full record

ArticleTechnology in cancer research & treatment

CBCT-based Online Adaptive Radiotherapy for Prostate Cancer: Dosimetrical Aspects and Comparison to Non-Adaptive Conventional IGRT.

Niklas Christian Scheele, Jann Fischer, Lovis Hampe, Tim Niemeier, Jessica Moldauer, Daniela Schmitt, Manuel Guhlich, Martin Leu, Leif Hendrik Dröge, Arne Strauß and 3 more

Abstract readComparative Study
In one paragraph

Article in Technology in cancer research & treatment. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Niklas Christian ScheeleDepartment of Radiotherapy and Radiation Oncology, University Medical Center, Göttingen, Germany.
Jann FischerDepartment of Radiotherapy and Radiation Oncology, University Medical Center, Göttingen, Germany.ORCID 0009-0002-8826-5662
Lovis HampeDepartment of Radiotherapy and Radiation Oncology, University Medical Center, Göttingen, Germany.
Tim NiemeierDepartment of Radiotherapy and Radiation Oncology, University Medical Center, Göttingen, Germany.
Jessica MoldauerDepartment of Radiotherapy and Radiation Oncology, University Medical Center, Göttingen, Germany.
Daniela SchmittDepartment of Radiotherapy and Radiation Oncology, University Medical Center, Göttingen, Germany.
Manuel GuhlichDepartment of Radiotherapy and Radiation Oncology, University Medical Center, Göttingen, Germany.
Martin LeuDepartment of Radiotherapy and Radiation Oncology, University Medical Center, Göttingen, Germany.
Leif Hendrik DrögeDepartment of Radiotherapy and Radiation Oncology, University Medical Center, Göttingen, Germany.
Arne StraußComprehensive Cancer Center, University Medical Center, Göttingen, Germany.
Stefan RiekenDepartment of Radiotherapy and Radiation Oncology, University Medical Center, Göttingen, Germany.
Laura Anna FischerDepartment of Radiotherapy and Radiation Oncology, University Medical Center, Göttingen, Germany.
Rami Ateyah El ShafieDepartment of Radiotherapy and Radiation Oncology, University Medical Center, Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IntroductionDaily anatomical variations in prostate cancer radiotherapy, particularly due to pelvic organ motion and filling, can compromise target coverage and increase exposure to organs at risk (OARs). Conventional image-guided radiotherapy (IGRT) uses fixed safety margins and daily couch corrections to account for these variations, potentially leading to overtreatment of healthy tissue or insufficient tumor coverage. Online adaptive radiotherapy (oART), based on cone-beam computed tomography (CBCT), enables daily plan adaptation to the patient's anatomy, offering improved precision, enhanced target coverage, and better OAR sparing. This retrospective study compares oART to conventional IGRT in prostate cancer treatment.MethodsA total of 153 treatment fractions from six consecutive prostate cancer patients treated with oART on a Varian Ethos system were analyzed. For each fraction, three plans were evaluated: the scheduled plan (initial plan recalculated on daily CBCT), the adapted plan (reoptimized based on daily anatomy), and the verification plan (applied dose recalculated on a post-adaptation CBCT). Dose-volume metrics for target volumes and OARs were assessed, and clinical acceptability was evaluated. Interfractional prostate volume changes and treatment times were examined.ResultsCTV D

Indexed as

Cone-Beam Computed TomographyProstatic NeoplasmsRadiotherapy, Image-GuidedRadiotherapy Planning, Computer-AssistedHumansMaleOrgans at RiskRadiometryRadiotherapy DosageRadiotherapy, Intensity-ModulatedRetrospective Studiesimage guided radiotherapy (IGRT)intensity modulated radiotherapy (IMRT)online adaptive radiotherapy (oART)organs at risk (OARs)prostate cancertarget coverage

Identifiers

PMID41525208
PMCPMC12796137

What OpenQuestion holds

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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.