Evidence map›Paper›PMID 36105390›Full record

ArticleNeuro-oncology advances

An investigation of the conformity, feasibility, and expected clinical benefits of multiparametric MRI-guided dose painting radiotherapy in glioblastoma.

Caterina Brighi, Paul J Keall, Lois C Holloway, Amy Walker, Brendan Whelan, Philip C de Witt Hamer, Niels Verburg, Farhannah Aly, Cathy Chen, Eng-Siew Koh and 1 more

Abstract read
In one paragraph

Article in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. 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.

Caterina BrighiACRF Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0001-9407-5772
Paul J KeallACRF Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0003-4803-6507
Lois C HollowayIngham Institute for Applied Medical Research, Sydney, Australia.ORCID https://orcid.org/0000-0003-4337-2165
Amy WalkerIngham Institute for Applied Medical Research, Sydney, Australia.
Brendan WhelanACRF Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-2326-0927
Philip C de Witt HamerBrain Tumor Center Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0003-2988-8544
Niels VerburgBrain Tumor Center Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0003-1048-1664
Farhannah AlyIngham Institute for Applied Medical Research, Sydney, Australia.ORCID https://orcid.org/0000-0003-4674-1480
Cathy ChenDepartment of Radiation Oncology, Liverpool and Macarthur Cancer Therapy Centres, Liverpool, Australia.
Eng-Siew KohIngham Institute for Applied Medical Research, Sydney, Australia.ORCID https://orcid.org/0000-0002-1664-2513
David E J WaddingtonACRF Image X Institute, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-7017-1556

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: New technologies developed to improve survival outcomes for glioblastoma (GBM) continue to have limited success. Recently, image-guided dose painting (DP) radiotherapy has emerged as a promising strategy to increase local control rates. In this study, we evaluate the practical application of a multiparametric MRI model of glioma infiltration for DP radiotherapy in GBM by measuring its conformity, feasibility, and expected clinical benefits against standard of care treatment. Methods: Maps of tumor probability were generated from perfusion/diffusion MRI data from 17 GBM patients via a previously developed model of GBM infiltration. Prescriptions for DP were linearly derived from tumor probability maps and used to develop dose optimized treatment plans. Conformity of DP plans to dose prescriptions was measured via a quality factor. Feasibility of DP plans was evaluated by dose metrics to target volumes and critical brain structures. Expected clinical benefit of DP plans was assessed by tumor control probability. The DP plans were compared to standard radiotherapy plans. Results: The conformity of the DP plans was >90%. Compared to the standard plans, DP (1) did not affect dose delivered to organs at risk; (2) increased mean and maximum dose and improved minimum dose coverage for the target volumes; (3) reduced minimum dose within the radiotherapy treatment margins; (4) improved local tumor control probability within the target volumes for all patients. Conclusions: A multiparametric MRI model of GBM infiltration can enable conformal, feasible, and potentially beneficial dose painting radiotherapy plans.

Indexed as

dose paintingglioblastomaMRI-guided radiotherapymultiparametric MRIplanning study

Identifiers

PMID36105390
PMCPMC9466270

What Socratic 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 Socratic graph.