Evidence map›Paper›PMID 42876930›Full record

ArticleJournal of contemporary brachytherapy2026

Dosimetric impact of intrarectal gas removal by Foley catheter on image-guided adaptive brachytherapy in cervical cancer patients.

Sansanee Kongkum, Ploy Dangsamak, Pitchayut Nakkrasae, Tissana Prasartseree, Wiwatchai Sittiwong, Wajana Thaweerat, Pittaya Dankulchai

Abstract read
In one paragraph

Article in Journal of contemporary brachytherapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

7 authors.

Sansanee KongkumDivision of Radiation Oncology, Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Ploy DangsamakDivision of Radiation Oncology, Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Pitchayut NakkrasaeDivision of Radiation Oncology, Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Tissana PrasartsereeDivision of Radiation Oncology, Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Wiwatchai SittiwongDivision of Radiation Oncology, Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Wajana ThaweeratDivision of Radiation Oncology, Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Pittaya DankulchaiDivision of Radiation Oncology, Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Intraluminal gas in rectum can be observed in some cervical cancer patients who underwent brachytherapy, leading to increased rectal volume. This might increase radiation dose to the rectum, and result in rectal complications. The aim of the study was to investigate the effect of intrarectal gas drainage by rectal catheterization using Foley catheter on rectal dimensions, target dose, and adjacent organs at risk (OARs) doses in cervical cancer patients treated with image-guided adaptive brachytherapy. Material and methods: Computed tomography (CT) images before and after rectal gas drainage were retrospectively collected from 20 brachytherapy sessions of 17 cervical cancer patients, who received image-guided adaptive brachytherapy from January 2018 to May 2019 at a single institution. Target volume and adjacent OARs were delineated, and brachytherapy planning was performed using both CT images. Rectal diameter from 2 cm above to 2 cm below cervical os were measured. Dosimetric comparison between pre-procedural and post-procedural plans was performed. Results: Rectal medio-lateral diameter at multiple levels was significantly decreased after rectal gas drainage, while rectal antero-posterior diameter only at 1 cm above cervical os was significantly decreased after the procedure. The calculated dose to high-risk clinical target volume (HR-CTV) and the bladder dose was comparable before and after the procedure. However, significant reductions in rectal D Conclusions: Intrarectal gas reduction by rectal catheterization with Foley catheter can significantly reduce rectal distention in lateral dimension and improve rectal dosimetric parameters. This procedure can be used in patients with remaining intraluminal rectal gas after patient rectal self-preparation to minimize rectal toxicity.

Indexed as

cervical cancerfoley catheterimage-guided adaptive brachytherapyrectal gas

Identifiers

PMID42876930
PMCPMC13662463

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