Evidence map›Paper›PMID 41749952›Full record

ArticleCancers2026

Long-Term Outcome of Intraoperative Radiotherapy for Early-Stage Breast Cancer.

Eyal Bratt, Orit Pasternak, Daphne Levin, Yonina Tova, Vladislav Grinberg, Moshe Papa, Mordechay Gutman, Svetlana Zalmanov, Raphael Moshe Pfeffer, Roxolyana Abdah-Bortnyak and 1 more

Abstract read
In one paragraph

Article in Cancers, 2026. 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

11 authors.

Eyal BrattDepartment of Oncology, Assuta Medical Center, Tel-Aviv 6971028, Israel.
Orit PasternakDepartment of Oncology, Assuta Medical Center, Tel-Aviv 6971028, Israel.
Daphne LevinDepartment of Oncology, Assuta Medical Center, Tel-Aviv 6971028, Israel.
Yonina TovaDepartment of Oncology, Ziv Medical Center, Zefad 1310000, Israel.
Vladislav GrinbergDepartment of Oncology, Assuta Medical Center, Tel-Aviv 6971028, Israel.
Moshe PapaDepartment of Surgery, Assuta Medical Center, Tel-Aviv 6971028, Israel.
Mordechay GutmanDepartment of Surgery, Assuta Medical Center, Tel-Aviv 6971028, Israel.
Svetlana ZalmanovDepartment of Oncology, Assuta Medical Center, Tel-Aviv 6971028, Israel.
Raphael Moshe PfefferDepartment of Oncology, Assuta Medical Center, Tel-Aviv 6971028, Israel.
Roxolyana Abdah-BortnyakRuth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 3200003, Israel.ORCID 0009-0006-3471-2809
Merav Akiva Ben-DavidDepartment of Oncology, Assuta Medical Center, Tel-Aviv 6971028, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntraoperative radiotherapy (IORT) offers single-session treatment during breast-conserving surgery (BCS). Outcomes depend heavily on patient selection and tumor characteristics.

objectivesTo assess local recurrence (LR) and prognosis using the 2024 American Society for Radiation Oncology (ASTRO) risk classification in IORT-treated patients.

methodsThis multicenter retrospective study analyzed 358 IORT cases (356 patients) treated between 2014 and 2018 using the Zeiss INTRABEAM system. Cases were classified per the 2024 ASTRO partial-breast irradiation guidelines. The primary endpoint was local recurrence-free survival (LRFS); secondary endpoints included overall survival (OS) and mastectomy-free survival (MFS).

findingsThe median age was 66 years (range 48-80); all tumors were invasive with a median tumor size of 10 mm. At a median follow-up of 7.1 years, LR occurred in 14/358 cases (3.9%) at a median of 5.2 years post-diagnosis. Five- and 8-year LRFS were 98.3% and 94.8%, respectively; 5- and 8-year OS were 99.4% and 97.7%; MFS at 8 years was 98.2%. Cases that were classified as "conditionally recommended" or "conditionally not recommended" had significantly higher LR than the "suitable" group (8.5% vs. 2.7%; HR 3.25, 95% CI 1.05-10.08,

conclusionsIn appropriately selected patients, IORT achieves local control consistent with contemporary series. The 2024 ASTRO risk classification effectively identifies high-risk cases, supporting its use for risk-adapted candidate selection.

Indexed as

breast cancerintraoperative radiotherapypartial-breast irradiation

Identifiers

PMID41749952
PMCPMC12939902

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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.