Evidence map›Paper›PMID 41819059›Full record

ArticleMagyar onkologia2026

[Daily online adaptive irradiation of bladder tumors with individualized safety margin creation].

Gabriella Dóra Pulugor, Ádám Gáldi, Levente Varga, Kliton Jorgo, László Gesztesi, András Herein, Domonkos Szegedi, Zsuzsa S Kocsis, Tibor Major, Csaba Polgár and 2 more

Abstract readComparative StudyEnglish Abstract
In one paragraph

Article in Magyar onkologia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

12 authors.

Gabriella Dóra PulugorÁltalános Orvostudományi Kar, Semmelweis Egyetem, Budapest, Hungary.
Ádám GáldiSugárterápiás Központ, Országos Onkológiai Intézet, Budapest, Hungary. agoston.peter@oncol.hu.
Levente VargaSugárterápiás Központ, Országos Onkológiai Intézet, Budapest, Hungary. agoston.peter@oncol.hu.
Kliton JorgoSugárterápiás Központ, Országos Onkológiai Intézet, Budapest, Hungary. agoston.peter@oncol.hu.
László GesztesiSugárterápiás Központ, Országos Onkológiai Intézet, Budapest, Hungary. agoston.peter@oncol.hu.
András HereinSugárterápiás Központ, Országos Onkológiai Intézet, Budapest, Hungary. agoston.peter@oncol.hu.
Domonkos SzegediSugárterápiás Központ, Országos Onkológiai Intézet, Budapest, Hungary. agoston.peter@oncol.hu.
Zsuzsa S KocsisSugárterápiás Központ, Országos Onkológiai Intézet, Budapest, Hungary. agoston.peter@oncol.hu.
Tibor MajorSugárterápiás Központ, Országos Onkológiai Intézet, Budapest, Hungary. agoston.peter@oncol.hu.
Csaba PolgárSugárterápiás Központ, Országos Onkológiai Intézet, Budapest, Hungary. agoston.peter@oncol.hu.
Zoltán Takácsi-NagySugárterápiás Központ, Országos Onkológiai Intézet, Budapest, Hungary. agoston.peter@oncol.hu.
Péter ÁgostonSugárterápiás Központ, Országos Onkológiai Intézet, Budapest, Hungary. agoston.peter@oncol.hu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimDaily online adaptive radiation therapy (OART) allows the creation of individualized safety margins based on daily optimized treatment planning, taking into account daily anatomy variations. The goal of our work was to compare the protocols and safety margins of a non-adapted, image- guided radiation therapy (IGRT), a published Danish and the National Institute of Oncology of Hungary (NIO) protocol in the first eight bladder cancer patients treated with OART.

methodsThree cone beam CTs (CBCT) were taken during the first three fractions: after patient positioning, after adaptation, and at the end of treatment. Bladder contours, extensions and margins were established on all CT images (n=512). Intraadaptational, intrafractional and interfractional changes were examined.

resultsRegarding PTV, a mean reduction of 12.2% could be achieved using the Danish, and 34.1% using the NIO protocol compared to IGRT. Healthy tissue irradiated by the prescribed dose could be reduced. The target volume miss is decreased as well.

conclusionsPTV could be reduced and optimized, increasing healthy tissue protection using OART.

Indexed as

Cone-Beam Computed TomographyRadiotherapy, Image-GuidedRadiotherapy Planning, Computer-AssistedUrinary Bladder NeoplasmsAgedDenmarkDose Fractionation, RadiationFemaleHumansHungaryMaleMiddle AgedRadiotherapy DosageTreatment OutcomeUrinary Bladder

Identifiers

PMID41819059
PMCPMC12990079

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.