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. 2017 Mar 7;2017(3):CD011314. doi: 10.1002/14651858.CD011314.pub2

Zhao 2006.

Methods Randomised clinical trial with 2 arms: three dimensional conformal radiotherapy (3‐DCRT) plus transarterial chemoembolisation (TACE) versus TACE
Participants 96 people with inoperable primary liver cancer. TACE + 3‐DCRT = 49; TACE = 47
Median age: 52 years
Male/female: 59/37
Recruitment: January 1998 to April 2000
Diagnostic criteria:
  • KPS ≥ 70

  • Normal liver function

  • No TACE or RT contraindicated

  • Early stage of liver portal area of the liver cancer

  • Not suitable for surgery, such as liver cancer merger of liver cirrhosis

  • Voluntary choice of TACE and/or 3‐DCRT

  • No portal vein tumour thrombus

  • No distant metastases

  • No ascites

  • Gross tumour volume < 6 cm


79 participants had pathologic diagnosis; others were diagnosed by clinical symptoms, imaging, and alpha‐fetoprotein.
Interventions Planning scan by spiral computed tomography, design CTV, and PTV.
 The machine is 2100C linear accelerator.
 3‐DCRT: 45 to 55 Gy; treatment is administered every other day
Outcomes
  1. alpha‐fetoprotein

  2. Short‐term effects

  3. Survival rate

  4. Toxic and adverse effects

Notes Country of the study: China
We contacted the corresponding author on 19 March 2016 to provide missing data, but have not yet received any feedback.
Funding: unclear
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The study is described as a randomised clinical trial, but the method of randomisation is not mentioned.
Allocation concealment (selection bias) Unclear risk The method used to conceal the allocation was not described.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk The trial was not blinded, so that the allocation was known during the trial.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Outcome assessment was not blinded.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk There were insufficient data to assess attrition bias.
Selective reporting (reporting bias) High risk The study did not report cancer‐related mortality, quality of life, or serious adverse events.
For profit bias Unclear risk Unclear funding source
Other bias Unclear risk Unclear risk of other bias

Epi‐ADM: doxorubicin and epirubicin; cGy: centigray; CTV: clinical target volume; DDP: cisplatin; Gy: gray; KPS: Karnofsky performance score; PTV: planning target volume; THP: tetrahydropalmatine; TLC: total leukocytic count; TNM: tumour, node and metastasis.