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ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2026

Centralization of MR image-guided adaptive brachytherapy for cervical cancer in Austria: feasibility and outcomes.

J Knoth, H Ramadan, E M Weis, G Kurzweil, B Celedin, O Komina, J Salinger, J Böswarth, S Skorbier, M Buchegger and 17 more

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Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 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
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0citing papers in PubMed
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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

27 authors.

J KnothDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Image and Knowledge Driven Precision Radiation Oncology, Medical University of Vienna, General Hospital of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
H RamadanDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Image and Knowledge Driven Precision Radiation Oncology, Medical University of Vienna, General Hospital of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
E M WeisAbteilung für Radioonkologie, Ordensklinikum Linz, Linz, Austria.
G KurzweilFachbereich für Radiotherapie-Radioonkologie, Salzkammergut Klinikum, Vöcklabruck, Austria.
B CeledinInstitut für Strahlentherapie und Radioonkologie, Klinikum Klagenfurt am Wörthersee, Klagenfurt am Wörthersee, Austria.
O KominaInstitut für Radioonkologie, Klinik Hietzing, Wien, Austria.
J SalingerKlinische Abteilung für Strahlentherapie - Radioonkologie, Universitätsklinikum Krems, Krems, Austria.
J BöswarthKlinische Abteilung für Strahlentherapie - Radioonkologie, Universitätsklinikum Krems, Krems, Austria.
S SkorbierUniversitätsklinik für Strahlentherapie - Radioonkologie, Comprehensive Cancer Center, Medizinische Universität Graz, Graz, Austria.
M BucheggerKlinisches Institut für Radioonkologie und Strahlentherapie, Universitätsklinikum Wiener Neustadt, Wiener Neustadt, Austria.
S KartalKlinisches Institut für Radioonkologie und Strahlentherapie, Universitätsklinikum Wiener Neustadt, Wiener Neustadt, Austria.
S FlatzAbteilung für Radioonkologie und Strahlentherapie, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
J FreyAbteilung für Radioonkologie und Strahlentherapie, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
O GomezFachbereich für Radiotherapie-Radioonkologie, Salzkammergut Klinikum, Vöcklabruck, Austria.
M KoppFachbereich für Radiotherapie-Radioonkologie, Salzkammergut Klinikum, Vöcklabruck, Austria.
M MetzKlinisches Institut für Radioonkologie und Strahlentherapie, Universitätsklinikum Wiener Neustadt, Wiener Neustadt, Austria.
A de VriesAbteilung für Radioonkologie und Strahlentherapie, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
T BrunnerUniversitätsklinik für Strahlentherapie - Radioonkologie, Comprehensive Cancer Center, Medizinische Universität Graz, Graz, Austria.
J WidderDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Image and Knowledge Driven Precision Radiation Oncology, Medical University of Vienna, General Hospital of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
A ReimRadioonkologie und Strahlentherapie, Klinik Donaustadt, Wien, Austria.
N Eder-NesvacilDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Image and Knowledge Driven Precision Radiation Oncology, Medical University of Vienna, General Hospital of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
C KirisitsDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Image and Knowledge Driven Precision Radiation Oncology, Medical University of Vienna, General Hospital of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
W RaunikInstitut für Strahlentherapie und Radioonkologie, Klinikum Klagenfurt am Wörthersee, Klagenfurt am Wörthersee, Austria.
P GeorgKlinische Abteilung für Strahlentherapie - Radioonkologie, Universitätsklinikum Krems, Krems, Austria.
H GeinitzAbteilung für Radioonkologie, Ordensklinikum Linz, Linz, Austria.
A SturdzaDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Image and Knowledge Driven Precision Radiation Oncology, Medical University of Vienna, General Hospital of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
M P SchmidDepartment of Radiation Oncology, Comprehensive Cancer Center, Christian Doppler Laboratory for Image and Knowledge Driven Precision Radiation Oncology, Medical University of Vienna, General Hospital of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria. maximilian.a.schmid@meduniwien.ac.at.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMagnetic resonance image-guided adaptive brachytherapy (MR-IGABT) is the standard of care for definitive radiochemotherapy in locally advanced cervical cancer, but radiotherapy departments with sufficient case volume and unrestricted access to MRI capacity remain limited. This study evaluated the feasibility and outcomes of a nationwide Austrian model combining decentralized external-beam radiotherapy (EBRT) with centralized MR-IGABT. MATERIALS AND

methodsThis retrospective cohort study included patients with FIGO IB-IVA cervical cancer treated between 2018 and 2022 who received EBRT ± concomitant chemotherapy at external Austrian institutions and were subsequently referred to the Medical University of Vienna for brachytherapy. All patients received four fractions of MR-IGABT with MRI-based target delineation according to GEC-ESTRO recommendations. Primary endpoints were local control (LC) and overall survival (OS). Secondary endpoints included pelvic lymph node control (PLNC), recurrence-free survival (RFS), and grade ≥ 3 morbidity requiring medical intervention.

resultsEighty-nine patients from nine institutions were analyzed. Median age was 52 years; 54% had T2b disease and 60% nodal involvement, including 17% paraaortic nodes. Median overall treatment time was 50 days, with a median 6.5-day interval between EBRT and brachytherapy. Combined intracavitary/interstitial brachytherapy was used in 87%, with a median of six needles. The median CTV

conclusionCentralized MR-IGABT within a nationwide referral network is feasible and enables guideline-conform, high-quality cervical cancer treatment in a real-world setting.

Indexed as

ChemotherapyEMBRACEInterstitialRadiotherapyReal world data

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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.