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A longitudinal evaluation of improvements in radiotherapy treatment plan quality for head and neck cancer patients

Overview of attention for article published in Radiotherapy & Oncology, April 2016
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Title
A longitudinal evaluation of improvements in radiotherapy treatment plan quality for head and neck cancer patients
Published in
Radiotherapy & Oncology, April 2016
DOI 10.1016/j.radonc.2016.04.011
Pubmed ID
Authors

Jim P. Tol, Patricia Doornaert, Birgit I. Witte, Max Dahele, Ben J. Slotman, Wilko F.A.R. Verbakel

Abstract

To investigate changes in head-and-neck cancer (HNC) plan quality following the introduction of new technologies and planning techniques in the last decade. Thirty plans were selected from each of four successive periods (P). P1: 7-field static intensity-modulated radiotherapy (IMRT) with parotid gland sparing; P2: dual-arc volumetric-modulated arc therapy (VMAT, similar to P3-P4), including submandibular gland sparing; P3: inclusion of individual swallowing muscles and attempts to further reduce parotid and oral cavity doses through manual interactive optimization; P4: containing the same organs-at-risk (OARs) as P3, but automatically interactively optimized. Plan benchmarking included mean salivary gland/swallowing muscle/oral cavity (Dsal/Dswal/Doc) doses. Differences in mean doses between the periods were analyzed by an ANCOVA, taking geometric differences across periods into account. Compared to P1, P2 plans improved Dsal by 3.4Gy on average. P3 improved Dsal/Dswal/Doc by 6.9/11.5/7.2Gy over P2, showing that Dswal and Dsal could be improved simultaneously. In P4, Doc/Dswal slightly improved over P3 by 1.7/3.8Gy. Improved OAR sparing in P3/P4 did not come at the cost of increased dose deposition elsewhere and planning target volume (PTV) dose homogeneity was similar. New technologies and planning techniques were successfully implemented into routine clinical care and resulting in improved HNC plan quality.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 33 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 33 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 7 21%
Student > Master 5 15%
Researcher 5 15%
Other 4 12%
Student > Ph. D. Student 4 12%
Other 3 9%
Unknown 5 15%
Readers by discipline Count As %
Medicine and Dentistry 10 30%
Physics and Astronomy 6 18%
Nursing and Health Professions 4 12%
Psychology 2 6%
Materials Science 2 6%
Other 2 6%
Unknown 7 21%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. 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 27 April 2016.
All research outputs
#22,756,649
of 25,371,288 outputs
Outputs from Radiotherapy & Oncology
#4,098
of 4,845 outputs
Outputs of similar age
#269,664
of 312,370 outputs
Outputs of similar age from Radiotherapy & Oncology
#73
of 104 outputs
Altmetric has tracked 25,371,288 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,845 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.6. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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 312,370 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 104 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.