Evidence map›Paper›PMID 35954357›Full record

ReviewCancers2022

Intra-Operative Electron Radiation Therapy: An Update of the Evidence Collected in 40 Years to Search for Models for Electron-FLASH Studies.

Felipe A Calvo, Javier Serrano, Mauricio Cambeiro, Javier Aristu, Jose Manuel Asencio, Isabel Rubio, Jose Miguel Delgado, Carlos Ferrer, Manuel Desco, Javier Pascau

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Felipe A CalvoDepartment of Oncology, Clínica Universidad de Navarra, 28027 Madrid, Spain.
Javier SerranoDepartment of Oncology, Clínica Universidad de Navarra, 28027 Madrid, Spain.
Mauricio CambeiroDepartment of Oncology, Clínica Universidad de Navarra, 28027 Madrid, Spain.
Javier AristuDepartment of Oncology, Clínica Universidad de Navarra, 28027 Madrid, Spain.
Jose Manuel AsencioDepartment of General Surgery, Hospital General Universitario Gregorio Marañón, Gregorio Marañón Complutense University, 28027 Madrid, Spain.ORCID 0000-0002-7533-5513
Isabel RubioDepartment of Surgery, Clínica Universidad de Navarra, 28027 Madrid, Spain.
Jose Miguel DelgadoDepartment of Medical Physics, Clínica Universidad de Navarra, 28027 Madrid, Spain.
Carlos FerrerInstitute of Oncology, Hospital Provincial de Castellón, 12002 Castellon, Spain.ORCID 0000-0001-9122-7646
Manuel DescoHospital General Universitario Gregorio Marañón, Department Bioengineering and Aerospace Engineering, Universidad Carlos III de Madrid, 28027 Madrid, Spain.ORCID 0000-0003-0989-3231
Javier PascauDepartment of Bioengineering and Aerospace Engineering, Universidad Carlos III de Madrid, 28027 Madrid, Spain.ORCID 0000-0003-1484-731X
Clinica Universidad de Navarra · ESFundación Hospital Provincial de Castellón · ESHospital General Universitario Gregorio Marañón · ESSpanish National Centre for Cardiovascular Research · ESUniversidad Carlos III de Madrid · ES

Funding

Ministerio de Ciencia e Innovación. Agencia Estatal de Investigación. España PID2019-110369RB-I00 (RADHOR)
6 · The paper itself

Abstract

introductionThe clinical practice and outcome results of intraoperative electron radiation therapy (IOeRT) in cancer patients have been extensively reported over 4 decades. Electron beams can be delivered in the promising FLASH dose rate. METHODS AND MATERIALS: Several cancer models were approached by two alternative radiobiological strategies to optimize local cancer control: boost versus exclusive IOeRT. Clinical outcomes are revisited via a bibliometric search performed for the elaboration of ESTRO/ACROP IORT guidelines.

resultsIn the period 1982 to 2020, a total of 19,148 patients were registered in 116 publications concerning soft tissue sarcomas (9% of patients), unresected and borderline-resected pancreatic cancer (22%), locally recurrent and locally advanced rectal cancer (22%), and breast cancer (45%). Clinical outcomes following IOeRT doses in the range of 10 to 25 Gy (with or without external beam fractionated radiation therapy) show a wide range of local control from 40 to 100% depending upon cancer site, histology, stage, and treatment intensity. Constraints for normal tissue tolerance are important to maintain tumor control combined with acceptable levels of side effects.

conclusionsIOeRT represents an evidence-based approach for several tumor types. A specific risk analysis for local recurrences supports the identification of cancer models that are candidates for FLASH studies.

Indexed as

electronsFLASHintraoperativeIOeRTIORTradiotherapy

Identifiers

PMID35954357
PMCPMC9367249
OpenAlexW4289110535

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.