Distant Metastasis After Chemoradiation and Image Guided Adaptive Brachytherapy in Locally Advanced Cervical Cancer
DM is a substantial burden in patients with locally advanced cervical cancer, with the lungs, distant lymph nodes, and bones being the most frequent sites. Risk factors such as nonsquamous histology, nodal involvement, and large target volumes at brachytherapy are critical considerations for identifying high-risk patients in future studies. These findings highlight the need for tailored strategies to mitigate DM in this patient population.
Authors
- Bhavana Rai (ORCID: https://orcid.org/0000-0001-7797-4696)
- Rachel Cooper (ORCID: https://orcid.org/0000-0001-7864-308X)
- Bradley R. Pieters (ORCID: https://orcid.org/0000-0002-7427-8836)
- Umesh Mahantshetty
- Peter Hoskin (ORCID: https://orcid.org/0000-0001-8323-9567)
- Remi A. Nout (ORCID: https://orcid.org/0000-0001-8011-2982)
- Robin Ristl (ORCID: https://orcid.org/0000-0002-4163-9236)
- Nicole Eder-Nesvacil
- Fleur Huang (ORCID: https://orcid.org/0000-0001-7487-9642)
- Johannes Knoth (ORCID: https://orcid.org/0000-0002-0704-9910)
- Astrid A.C. de Leeuw
- Ina M. Jürgenliemk‐Schulz (ORCID: https://orcid.org/0000-0003-4911-006X)
- Jacob Christian Lindegaard (ORCID: https://orcid.org/0000-0003-2426-7255)
- Kjersti Bruheim (ORCID: https://orcid.org/0000-0003-0592-7553)
- Maximilian Schmid (ORCID: https://orcid.org/0000-0003-1525-6423)
- Lars Fokdal (ORCID: https://orcid.org/0000-0003-4382-4694)
- Barbara Šegedin (ORCID: https://orcid.org/0000-0003-0309-6282)
- Rohini Hawaldar (ORCID: https://orcid.org/0000-0002-3114-5689)
- Alina Sturdza (ORCID: https://orcid.org/0000-0002-0527-564X)
- Christine Haie-Méder (ORCID: https://orcid.org/0000-0002-8917-0297)
- Marie A.D. Haverkort (ORCID: https://orcid.org/0000-0001-6516-1380)
- Kari Tanderup (ORCID: https://orcid.org/0000-0001-7980-0681)
- Christian Kirisits (ORCID: https://orcid.org/0000-0002-2815-8083)
- Richard Pötter (ORCID: https://orcid.org/0000-0002-0703-572X)
- Li Tee Tan (ORCID: https://orcid.org/0000-0001-9333-9190)
- Daniela Boryshchuk (ORCID: https://orcid.org/0009-0003-2987-8490)
- Sadhana Kannan
- Erik Van Limbergen
- Israël Fortin
Institutions
- Oslo University Hospital (NO)
- University of Ljubljana (SI)
- University of Alberta (CA)
- Homi Bhabha National Institute (IN)
- Tata Memorial Hospital (IN)
- Universitair Ziekenhuis Leuven (BE)
- Mount Vernon Hospital (GB)
- St James's University Hospital (GB)
- Institut Gustave Roussy (FR)
- Aarhus University Hospital (DK)
- Hôpital Maisonneuve-Rosemont (CA)
- University Medical Center Utrecht (NL)
- Institute of Oncology Ljubljana (SI)
- Comprehensive Cancer Center Vienna (AT)
- Mount Vernon Cancer Centre (GB)
- Radiotherapiegroep (NL)
- Erasmus MC Cancer Institute (NL)
- Addenbrooke's Hospital (GB)
- Mount Vernon Hospital (GB)
- Post Graduate Institute of Medical Education and Research (IN)
- Medical University of Vienna (AT)
- KU Leuven (BE)
Publication Details
- Journal
- International Journal of Radiation Oncology*Biology*Physics
- Published
- 2025-05-10
- DOI
- https://doi.org/10.1016/j.ijrobp.2025.04.037
- Citations
- 4
- Primary Topic
- Endometrial and Cervical Cancer Treatments
- Type
- article
- Field-Weighted Citation Impact
- 8.23
Funders
- Varian Medical Systems
- Kræftens Bekæmpelse
- Elekta
- Austrian Science Fund
- Universität Wien
- Medizinische Universität Wien
- Dansk Kræftforsknings Fond