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041 | _ | _ | |a English |
082 | _ | _ | |a 610 |
100 | 1 | _ | |a Forster, Tobias |b 0 |
245 | _ | _ | |a Non-inferiority of local control and comparable toxicity of intensity-modulated radiotherapy with simultaneous integrated boost in breast cancer: 5-year results of the IMRT-MC2 phase III trial: IMRT-SIB is non-inferior to 3-D-CRT-seqB in RT for BC patients. |
260 | _ | _ | |a Amsterdam [u.a.] |c 2023 |b Elsevier Science |
336 | 7 | _ | |a article |2 DRIVER |
336 | 7 | _ | |a Output Types/Journal article |2 DataCite |
336 | 7 | _ | |a Journal Article |b journal |m journal |0 PUB:(DE-HGF)16 |s 1698406219_6648 |2 PUB:(DE-HGF) |
336 | 7 | _ | |a ARTICLE |2 BibTeX |
336 | 7 | _ | |a JOURNAL_ARTICLE |2 ORCID |
336 | 7 | _ | |a Journal Article |0 0 |2 EndNote |
500 | _ | _ | |a 2023 Nov 15;117(4):857-868 / #LA:E050# |
520 | _ | _ | |a The IMRT-MC2 trial was conducted to demonstrate non-inferiority of conventionally fractionated intensity-modulated radiotherapy with simultaneous integrated boost (IMRT-SIB) to 3-D-conformal radiotherapy with sequential boost (3-D-CRT-seqB) for adjuvant breast radiotherapy.A total of 502 patients were randomized between 2011 and 2015 for the prospective, multicenter, phase-III-trial (NCT01322854). 5-year results of late toxicity (LENT-SOMA), overall survival, disease-free survival, distant disease-free survival, cosmesis (Harvard scale) and local control (non-inferiority margin at hazard ratio of 3.5) were analyzed after a median follow-up of 62 months.The 5-year LC rate for the IMRT-SIB arm was non-inferior to the control arm (98.7% vs. 98.3%, respectively; HR 0.582, 95%-CI: [0.119-2.375], p=0.4595). Furthermore, there was no significant difference in overall survival (97.1% versus 98.3%, respectively; HR 1.235, 95%-CI: [0.472-3.413], p=0.6697), disease-free survival (95.8% versus 96.1%, respectively; HR 1.130, 95%-CI: [0.487-2.679], p=0.7758) and distant disease-free survival (97.0% versus 97.8%, respectively; HR 1.667, 95%-CI: [0.575-5.434], p=0.3601). After 5 years, late toxicity evaluation and cosmetic assessment further showed no significant differences between treatment arms.The 5-year results of the IMRT-MC2 trial provide strong evidence, that the application of conventionally fractionated simultaneous integrated boost irradiation for breast cancer patients is both safe and effective with non-inferior local control compared to 3-D-conformal radiotherapy with sequential boost. |
536 | _ | _ | |a 315 - Bildgebung und Radioonkologie (POF4-315) |0 G:(DE-HGF)POF4-315 |c POF4-315 |f POF IV |x 0 |
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650 | _ | 7 | |a 3-D-conformal radiotherapy |2 Other |
650 | _ | 7 | |a 5-year follow-up |2 Other |
650 | _ | 7 | |a Breast cancer |2 Other |
650 | _ | 7 | |a intensity-modulated radiotherapy (IMRT) |2 Other |
650 | _ | 7 | |a local control |2 Other |
650 | _ | 7 | |a overall survival |2 Other |
650 | _ | 7 | |a sequential boost irradiation |2 Other |
650 | _ | 7 | |a simultaneously integrated boost (SIB) |2 Other |
700 | 1 | _ | |a Köhler, Clara |b 1 |
700 | 1 | _ | |a Dorn, Melissa |b 2 |
700 | 1 | _ | |a Häfner, Matthias Felix |b 3 |
700 | 1 | _ | |a Arians, Nathalie |b 4 |
700 | 1 | _ | |a König, Laila |b 5 |
700 | 1 | _ | |a Harrabi, Semi Ben |b 6 |
700 | 1 | _ | |a Schlampp, Ingmar |b 7 |
700 | 1 | _ | |a Weykamp, Fabian |b 8 |
700 | 1 | _ | |a Meixner, Eva |b 9 |
700 | 1 | _ | |a Lang, Kristin |b 10 |
700 | 1 | _ | |a Heinrich, Vanessa |b 11 |
700 | 1 | _ | |a Weidner, Nicola |b 12 |
700 | 1 | _ | |a Hüsing, Johannes |b 13 |
700 | 1 | _ | |a Wallwiener, Markus |b 14 |
700 | 1 | _ | |a Golatta, Michael |b 15 |
700 | 1 | _ | |a Hennigs, André |b 16 |
700 | 1 | _ | |a Heil, Jörg |b 17 |
700 | 1 | _ | |a Hof, Holger |b 18 |
700 | 1 | _ | |a Krug, David |b 19 |
700 | 1 | _ | |a Debus, Jürgen |0 P:(DE-He78)8714da4e45acfa36ce87c291443a9218 |b 20 |u dkfz |
700 | 1 | _ | |a Hörner-Rieber, Juliane |0 P:(DE-He78)c59ff25b48c192ed3fd4ad3a4bc9b9c0 |b 21 |e Last author |u dkfz |
773 | _ | _ | |a 10.1016/j.ijrobp.2023.05.035 |g p. S0360301623005230 |0 PERI:(DE-600)1500486-7 |n 4 |p 857-868 |t International journal of radiation oncology, biology, physics |v 117 |y 2023 |x 0360-3016 |
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