Evidence map›Paper›PMID 41663311›Full record

ArticleJournal of applied clinical medical physics2026

Impact of rectal gas evacuation on dosimetry and applicator displacement in cervical cancer brachytherapy.

Haiyan Wu, Chengdian He, Mei Liu, Xiujuan Zhao

Erratum issuedAbstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

5 · Who and what money

Authors and funding

4 authors.

Haiyan WuDepartment of Gynecological Oncology, Chongqing University Cancer Hospital, Chongqing, China.
Chengdian HeDepartment of Gynecological Oncology, Chongqing University Cancer Hospital, Chongqing, China.
Mei LiuDepartment of Gynecological Oncology, Chongqing University Cancer Hospital, Chongqing, China.
Xiujuan ZhaoDepartment of Gynecological Oncology, Chongqing University Cancer Hospital, Chongqing, China.

Funding

Chongqing Innovative Medical Device Application Demonstration Project CQEIC2024MDAD-057Scientific and Technological Research Program of Chongqing Municipal Education Commission KJQN202300132
6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the impact of rectal gas evacuation on organ-at-risk (OAR) volumes, dose-volume histogram (DVH) parameters, and applicator displacement during cervical cancer brachytherapy.

methodsTwenty-one cervical cancer patients who received three-dimensional brachytherapy at our center between November and December 2024 and presented with rectal gas were retrospectively included. Planning computed tomography (CT) images were acquired before and after rectal gas evacuation to evaluate changes in rectal and bladder volumes, as well as radiation dose variations to OARs (bladder, rectum, sigmoid, and small intestine). Dosimetric parameters analyzed comprised D

resultsRectal volume decreased by 40.1% after gas evacuation, while bladder volume increased by 18.2%. D

conclusionsRectal gas evacuation results in a statistically significant and clinically relevant reduction in rectal volume and rectal dose, underscoring its importance as a routine clinical procedure. However, as it may induce millimeter-level applicator displacement with clinically measurable dosimetric consequences, careful monitoring is warranted, with post-evacuation replanning or, if necessary, applicator adjustment.

Indexed as

BrachytherapyGasesOrgans at RiskRadiotherapy Planning, Computer-AssistedRectumUterine Cervical NeoplasmsAdultAgedFemaleHumansMiddle AgedPrognosisRadiotherapy DosageRadiotherapy, Intensity-ModulatedRetrospective StudiesTomography, X-Ray ComputedGasesapplicator displacementbrachytherapydosimetryrectal gas evacuation

Identifiers

PMID41663311
PMCPMC12885748

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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.