Evidence map›Paper›PMID 41826929›Full record

Trial reportBMC cancer2026

Surface-guided radiation therapy combined with real-time position management-guided deep inspiratory breath-hold radiotherapy for left breast cancer.

Hai-Liang Guo, Hua-Ying Xie, Chun-Ling Jiang, Can-Feng Weng, Guo-Ping Liao, Gang-Feng Zhu, Yi-Peng Song, Rui-Lian Xie, Jing-Hua Zhong, Huai-Wen Zhang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

10 authors.

Hai-Liang Guo *Department of Oncology, Jiangxi "Flagship" Oncology Department of Synergy for Chinese and Western Medicine, Jiangxi Provincial Unit for Clinical Key Oncology Specialty Development, Clinical Research Center for Cancer, the First Affiliated Hospital of Gannan Medical University, Ganzhou, 341000, Jiangxi, China.
Hua-Ying Xie *Department of Radiation Oncology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200000, China.
Chun-Ling Jiang *Department of Radiation Oncology, Cancer Center, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 201620, China.
Can-Feng WengDepartment of Radiotherapy, Guangzhou Institute of Cancer Research, the Affiliated Cancer Hospital, Guangzhou Medical University, Guangzhou, 510095, China.
Guo-Ping LiaoDepartment of Oncology, The People's Hospital of NingDu, Ganzhou, 342800, China.
Gang-Feng ZhuThe First Clinical Medical College, Gannan Medical University, Ganzhou, 341000, China.
Yi-Peng SongThe First Clinical Medical College, Gannan Medical University, Ganzhou, 341000, China.
Rui-Lian XieDepartment of Oncology, Jiangxi "Flagship" Oncology Department of Synergy for Chinese and Western Medicine, Jiangxi Provincial Unit for Clinical Key Oncology Specialty Development, Clinical Research Center for Cancer, the First Affiliated Hospital of Gannan Medical University, Ganzhou, 341000, Jiangxi, China. xieruilian163@163.com.
Jing-Hua ZhongDepartment of Oncology, Jiangxi "Flagship" Oncology Department of Synergy for Chinese and Western Medicine, Jiangxi Provincial Unit for Clinical Key Oncology Specialty Development, Clinical Research Center for Cancer, the First Affiliated Hospital of Gannan Medical University, Ganzhou, 341000, Jiangxi, China. 413623991@qq.com.
Huai-Wen ZhangDepartment of Radiation Oncology, Jiangxi Clinical Research Center for Cancer, Jiangxi Cancer Hospital & Institute, The Second Affiliated Hospital of Nanchang Medical College, Nanchang, 330029, China. 1761580890@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeTo evaluate the efficacy of surface-guided radiation therapy (SGRT) combined with real-time position management (RPM)-guided deep inspiratory breath-hold (DIBH) radiotherapy for left breast cancer. MATERIALS AND

methodsTwenty patients diagnosed with breast cancer, who underwent breast-conserving surgery and subsequent DIBH radiotherapy, were randomly assigned to two treatment groups: SGRT-guided (SGRT); and combined SGRT + RPM-guided (SGRT + RPM). Recorded setup and cone beam computed tomography (CBCT) validation execution Time (T1), Beam delivery time (T2). Residual vertical setup error (VRT Error), six-dimensional (6D) setup errors, and breath-hold error (BH Error) were obtained using breath hold CBCT. Correlations between BH Error and VRT Error were analyzed. Dose reconstruction was performed using velocity-generated adaptive CT to compute per-fraction and accumulated doses, with coefficient of variation (CV) analysis used to quantify interfractional dose variations in clinical target volume (CTV) and organs at risk (OARs).

resultsThe mean (± SD) T1 and T2 times for the SGRT and SGRT + RPM groups were 452.53 ± 83.57 s vs. 299.58 ± 53.52 s (p < 0.05), and 147.85 ± 46.35 s vs. 135.3 ± 32.97 s (p > 0.05), respectively, with no statistical difference in 6D setup errors (p > 0.05). The SGRT group exhibited a mean BH Error that was 0.4 mm larger than that of the SGRT + RPM group, with a 0.7 mm reduction in stability. There was a correlation between BH Error and VRT Error in the SGRT group (r = 0.635, p < 0.05). Accumulated dose analysis revealed statistically significant decreases in CTV D98% and V95% in both groups (p < 0.05). However, maintained CTV coverage meeting clinical acceptability criteria (V95% ≥ 95%). The accumulated OARs doses demonstrated no significant differences compared with the planned doses (p > 0.05). There was no significant difference in CV values between the two groups (p > 0.05).

conclusionThe DIBH guided by SGRT + RPM simplify the radiotherapy workflow, improve the operation efficiency and breath-hold (BH) quality of patients. Simultaneously, it guaranteed alignment of the cumulative doses received by the CTV and OARs with the planned doses.

Indexed as

Breast NeoplasmsBreath HoldingRadiotherapy, Image-GuidedRadiotherapy Planning, Computer-AssistedUnilateral Breast NeoplasmsAdultAgedCone-Beam Computed TomographyFemaleHumansMastectomy, SegmentalMiddle AgedPatient PositioningRadiotherapy DosageAccumulated doseDeep inspiration breath-holdLeft breast-conserving surgeryReal-time position managementSurface-guided radiation therapy

Identifiers

PMID41826929
PMCPMC13101108

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.