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The effect of dose escalation on gastric toxicity when treating lower oesophageal tumours: a radiobiological investigation

Overview of attention for article published in Radiation Oncology, November 2015
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  • Above-average Attention Score compared to outputs of the same age (52nd percentile)
  • Good Attention Score compared to outputs of the same age and source (79th percentile)

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Title
The effect of dose escalation on gastric toxicity when treating lower oesophageal tumours: a radiobiological investigation
Published in
Radiation Oncology, November 2015
DOI 10.1186/s13014-015-0537-y
Pubmed ID
Authors

Rhys Carrington, John Staffurth, Samantha Warren, Mike Partridge, Chris Hurt, Emiliano Spezi, Sarah Gwynne, Maria A. Hawkins, Thomas Crosby

Abstract

Using radiobiological modelling to estimate normal tissue toxicity, this study investigates the effects of dose escalation for concurrent chemoradiation therapy (CRT) in lower third oesophageal tumours on the stomach. 10 patients with lower third oesophageal cancer were selected from the SCOPE 1 database (ISCRT47718479) with a mean planning target volume (PTV) of 348 cm(3). The original 3D conformal plans (50Gy3D) were compared to newly created RapidArc plans of 50GyRA and 60GyRA, the latter using a simultaneous integrated boost (SIB) technique using a boost volume, PTV2. Dose-volume metrics and estimates of normal tissue complication probability (NTCP) were compared. There was a significant increase in NTCP of the stomach wall when moving from the 50GyRA to the 60GyRA plans (11-17 %, Wilcoxon signed rank test, p = 0.01). There was a strong correlation between the NTCP values of the stomach wall and the volume of the stomach wall/PTV 1 and stomach wall/PTV2 overlap structures (R = 0.80 and R = 0.82 respectively) for the 60GyRA plans. Radiobiological modelling suggests that increasing the prescribed dose to 60Gy may be associated with a significantly increased risk of toxicity to the stomach. It is recommended that stomach toxicity be closely monitored when treating patients with lower third oesophageal tumours with 60Gy.

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X Demographics

The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 23 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Japan 1 4%
Unknown 22 96%

Demographic breakdown

Readers by professional status Count As %
Researcher 8 35%
Student > Ph. D. Student 5 22%
Student > Master 3 13%
Student > Bachelor 1 4%
Professor 1 4%
Other 3 13%
Unknown 2 9%
Readers by discipline Count As %
Medicine and Dentistry 8 35%
Physics and Astronomy 7 30%
Psychology 1 4%
Unknown 7 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 December 2015.
All research outputs
#13,351,522
of 22,833,393 outputs
Outputs from Radiation Oncology
#637
of 2,057 outputs
Outputs of similar age
#183,702
of 386,484 outputs
Outputs of similar age from Radiation Oncology
#12
of 58 outputs
Altmetric has tracked 22,833,393 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,057 research outputs from this source. They receive a mean Attention Score of 2.7. This one has gotten more attention than average, scoring higher than 68% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 386,484 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.
We're also able to compare this research output to 58 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 79% of its contemporaries.