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Record W2988070887 · doi:10.1016/s0167-8140(19)33231-1

174 Intraoperative Radiotherapy Outcomes in Early Breast Cancer

2019· article· en· W2988070887 on OpenAlexaff
Maryam Elmi, I. Alex Vitkin, A. Tigert, Jaime Escallón, Tulin Cil, Brandon Zagorski, Wey L. Leong, Marie Vranic, W. Levin, David R. McCready, Anthony Fyles

Bibliographic record

VenueRadiotherapy and Oncology · 2019
Typearticle
Languageen
FieldBiochemistry, Genetics and Molecular Biology
TopicBreast Cancer Treatment Studies
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsMedicineRadiation therapyBreast cancerCancerRadiologyOncologyInternal medicine

Abstract

fetched live from OpenAlex

Results: Mean age was 69.7.Median follow-up was 35.5 months (range 0-85months).Nineteen of 26 patients had Squamous Cell Carcinoma (SCC), five of 26 (19%) Adenocarcinoma, one of 26 (4%) Clear Cell Carcinoma and one of 26 (4%) Melanoma.Thirteen percent, 71%, 8%, and 8% of patients had FIGO Stages I, II, III, and IV.Local control of 83% and 83%, mDFS of 91 % and 91%, and OS of 80% and 66 %, were respectively achieved at 3 and five years.When limited to SCC only, local control of 88% and 88%, mDFS of 94 % and 94%, and OS of 87% and 70%, were respectively achieved at three and five years.There were no late G3-4 GU/GI toxicity.Acute and late G3 vaginal toxicity occured in 19% and 42% of patients, respectively.Three cases of vaginal necrosis and one suspicion of fistula were reported, all associated with a local progression of the disease.No patient needed Hyperbaric Oxygen Therapy (HBOT).Conclusions: Excellent local control can be achieved with the use of TRUS-guided vaginal brachytherapy in primary vaginal cancer, especially for squamous cell carcinoma, with a favorable toxicity profile.GU and GI toxicities are mild but there is a significant number of G3 vaginal stenosis in this cohort of older patients.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.006
Threshold uncertainty score0.012

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.002
Science and technology studies0.0000.000
Scholarly communication0.0010.000
Open science0.0000.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.007
GPT teacher head0.292
Teacher spread0.285 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2019
Admission routes1
Has abstractno

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