Evidence map›Paper›PMID 39881423›Full record

Trial reportRadiation oncology (London, England)2025

Longitudinal assessment of diffusion-weighted imaging during magnetic resonance-guided radiotherapy in head and neck cancer.

Simon Boeke, Jonas Habrich, Sarah Kübler, Jessica Boldt, Fritz Schick, Konstantin Nikolaou, Jens Kübler, Cihan Gani, Maximilian Niyazi, Daniel Zips and 1 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Radiation oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04172753 (Feasibility of Imaging and Radiotherapy on a Novel 1.5 T Hybrid Magnetic Resonance Imaging - Linear Accelerator System), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT04172753 narecruitingnot on this map

Feasibility of Imaging and Radiotherapy on a Novel 1.5 T Hybrid Magnetic Resonance Imaging - Linear Accelerator System (MR-Linac)

TypeinterventionalSponsorUniversity Hospital TuebingenRan2018 to 2027Enrolled472ConditionsRectal Cancer, Head and Neck Cancer, Liver Cancer, Breast CancerArmsRadiotherapy on the MR-Linac, Imaging on the MR Linac
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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.

Simon Boeke *Department of Radiation Oncology, University Hospital Tübingen, Tübingen, Germany.
Jonas Habrich *Section for Biomedical Physics, Department of Radiation Oncology, University Hospital Tübingen, Tübingen, Germany. Jonas.Habrich@med.uni-tuebingen.de.
Sarah KüblerDepartment of Radiation Oncology, University Hospital Tübingen, Tübingen, Germany.
Jessica BoldtDepartment of Radiation Oncology, University Hospital Tübingen, Tübingen, Germany.
Fritz SchickSection for Experimental Radiology, Department of Diagnostic and Interventional Radiology, University Hospital Tübingen, Tübingen, Germany.
Konstantin NikolaouDepartment of Diagnostic and Interventional Radiology, University Hospital Tübingen, Tübingen, Germany.
Jens KüblerDepartment of Diagnostic and Interventional Radiology, University Hospital Tübingen, Tübingen, Germany.
Cihan GaniDepartment of Radiation Oncology, University Hospital Tübingen, Tübingen, Germany.
Maximilian NiyaziDepartment of Radiation Oncology, University Hospital Tübingen, Tübingen, Germany.
Daniel ZipsDepartment of Radiation Oncology, University Hospital Tübingen, Tübingen, Germany.
Daniela ThorwarthGerman Cancer Consortium (DKTK), partner site Tübingen, and German Cancer Research Center (DKFZ), Heidelberg, Germany.

Funding

Deutsche Forschungsgemeinschaft PAK 997/1
6 · The paper itself

Abstract

backgroundFor radiotherapy of head and neck cancer (HNC) magnetic resonance imaging (MRI) plays a pivotal role due to its high soft tissue contrast. Moreover, it offers the potential to acquire functional information through diffusion weighted imaging (DWI) with the potential to personalize treatment. The aim of this study was to acquire repetitive DWI during the course of online adaptive radiotherapy on an 1.5 T MR-linear accelerator (MR-Linac) for HNC patients and to investigate temporal changes of apparent diffusion coefficient (ADC) values of the tumor and subvolume levels.

methods27 patients treated with curative RT on the 1.5 T MR-Linac with at least weekly DWI in treatment position were included into this prospective analysis and divided in four risk groups (HPV-status and localisation). Tumor and lymph node volumes (GTV-P/GTV-N) were delineated on b = 500 s/mm

resultsMedian pretreatment ADC value for all patients resulted in 1167 × 10

conclusionLongitudinal DWI acquisition in HNC is feasible on a MR-Linac during the course of online adaptive MR-guided radiotherapy. Changes in ADC and volumes can be assessed, but future work needs to explore the potential for biologically guided treatment individualization.

trial registrationNCT04172753, actual study start: 09.05.2018.

Indexed as

Diffusion Magnetic Resonance ImagingHead and Neck NeoplasmsRadiotherapy, Image-GuidedRadiotherapy Planning, Computer-AssistedAdultAgedAged, 80 and overFemaleHumansLongitudinal StudiesMaleMiddle AgedPrognosisProspective StudiesRadiotherapy, Intensity-ModulatedApparent diffusion coefficientHead and neck cancerMR-guided radiotherapyQuantitative magnetic resonance imaging

Identifiers

PMID39881423
PMCPMC11780986

What Socratic holds

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LicenceCC BY
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Registered trials

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.