Evidence map›Paper›PMID 41362750›Full record

ArticlePhysics and imaging in radiation oncology2025

A cone-beam computed tomography based workflow for online adaptive ultra-hypofractionated radiotherapy of prostate cancer.

Miriam Eckl, Nour Alfakhori, Marvin Willam, Hans Oppitz, Constantin Dreher, Michael Ehmann, Judit Boda-Heggemann, Frank A Giordano, Jens Fleckenstein

Abstract read
In one paragraph

Article in Physics and imaging in radiation oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Miriam EcklDepartment of Radiation Oncology, University Medical Centre Mannheim, Heidelberg University, Germany.
Nour AlfakhoriDepartment of Radiation Oncology, University Medical Centre Mannheim, Heidelberg University, Germany.
Marvin WillamDepartment of Radiation Oncology, University Medical Centre Mannheim, Heidelberg University, Germany.
Hans OppitzDepartment of Radiation Oncology, University Medical Centre Mannheim, Heidelberg University, Germany.
Constantin DreherDepartment of Radiation Oncology, University Medical Centre Mannheim, Heidelberg University, Germany.
Michael EhmannDepartment of Radiation Oncology, University Medical Centre Mannheim, Heidelberg University, Germany.
Judit Boda-HeggemannDepartment of Radiation Oncology, University Medical Centre Mannheim, Heidelberg University, Germany.
Frank A GiordanoDepartment of Radiation Oncology, University Medical Centre Mannheim, Heidelberg University, Germany.
Jens FleckensteinDepartment of Radiation Oncology, University Medical Centre Mannheim, Heidelberg University, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: Cone beam computed tomography (CBCT)-based approaches for online adaptive radiation therapy (oART) have recently become clinically available for ultra-hypofractionated prostate stereotactic body radiation therapy (SBRT). This work assessed the changes of relevant dose-volume-histogram (DVH) parameters and their robustness against morphologic variations during adaptation. Materials and methods: Sixteen prostate cancer patients were treated with oART in an SBRT regimen (40 Gy in 5 treatment sessions (Tx) to the clinical target volume (CTV), PACE-B constraints). Two CBCTs were acquired daily: CBCT1 for adaptive planning and CBCT2 after adaptation for position verification. Adapted plans optimized on CBCT1 (ART Results: oART improved median V Conclusion: Compared to IGRT, daily oART substantially improved CTV coverage. Besides inter-fractional prostate swelling, constraint violations originated from seminal vesicles motion, rectal gas or bladder filling during adaptation. Treatment adaptation times should therefore be minimized whenever possible.

Indexed as

Adaptive radiation therapyHypersight CBCTProstate cancerSBRTUltra-hypofractionation

Identifiers

PMID41362750
PMCPMC12681559

What Socratic holds

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LicenceCC BY
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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.