Evidence map›Paper›PMID 41007715›Full record

ArticleBiomedicines2025

A Biological-Driven Approach to Explore Dose-Escalated Ultra-Hypofractionation in Breast Cancer Radiotherapy.

Marco Calvaruso, Denis Panizza, Riccardo Ray Colciago, Valeria Faccenda, Gaia Pucci, Elena De Ponti, Giusi Irma Forte, Giorgio Russo, Luigi Minafra, Stefano Arcangeli

Abstract read
In one paragraph

Article in Biomedicines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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.

Marco CalvarusoInstitute of Bioimaging and Complex Biological Systems-National Reasearch Council (IBSBC-CNR), 90015 Cefalù, Italy.ORCID 0000-0003-2387-8273
Denis PanizzaMedical Physics, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy.ORCID 0000-0002-8309-924X
Riccardo Ray ColciagoMedicine and Surgery Department, University of Milan Bicocca, 20900 Milano, Italy.ORCID 0000-0002-3867-2844
Valeria FaccendaMedical Physics, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy.ORCID 0009-0001-9584-637X
Gaia PucciInstitute of Bioimaging and Complex Biological Systems-National Reasearch Council (IBSBC-CNR), 90015 Cefalù, Italy.
Elena De PontiMedical Physics, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy.
Giusi Irma ForteInstitute of Bioimaging and Complex Biological Systems-National Reasearch Council (IBSBC-CNR), 90015 Cefalù, Italy.ORCID 0000-0003-0161-9828
Giorgio RussoInstitute of Bioimaging and Complex Biological Systems-National Reasearch Council (IBSBC-CNR), 90015 Cefalù, Italy.ORCID 0000-0003-1493-1087
Luigi MinafraInstitute of Bioimaging and Complex Biological Systems-National Reasearch Council (IBSBC-CNR), 90015 Cefalù, Italy.ORCID 0000-0003-3112-4519
Stefano ArcangeliMedicine and Surgery Department, University of Milan Bicocca, 20900 Milano, Italy.ORCID 0000-0003-3880-8876

Funding

Ministero Italiano dell'Università e della Ricerca, PRIN 2022, Grant no. 2022PW8R47 CUP H53D23006220006Unione europea- Next Generation EU, Missione 4 Componente 1, CUP B53D23020620006
6 · The paper itself

Abstract

To explore a more personalized approach to radiation therapy for adjuvant whole-breast irradiation in triple-negative breast cancer (TNBC), we analyzed the cell lines BT549 and MDA-MB-231 as in vitro models for radiobiological characterization. The local disease-free survival (LSR) values were determined for both cell lines' median, maximum, and minimum α and β parameters to achieve an LSR probability of close to 100% in a five-fraction schedule. Based on these findings, fifteen treatment plans were created for BC to simulate the proposed dose schedule. For the MDA-MB-231 cell line, the α/β ratios were 3.79 Gy (minimum), 15 Gy (maximum), and 7 Gy (median). For the BT-549 cell line, the α/β ratios were 5.95 Gy (minimum), 22.93 Gy (maximum), and 16.51 Gy (median). To achieve an LSR probability of close to 100%, the required doses per fraction were 5.2 Gy, 5.3 Gy, and 7.3 Gy for MDA-MB-231 and 8 Gy, 9.1 Gy, and 9.9 Gy for BT-549. We selected the highest dose per fraction, 9.9 Gy × 5, to simulate the worst-case scenario. To achieve 100% cell death effectiveness in TNBC, it is likely that higher radiation doses are required-doses that are not feasible within the setting of adjuvant whole-breast irradiation. Our model, which relies on the intrinsic biological features of the tumor, paves the way to reach more tailored RT plans and to improve the classic LQ model.

Indexed as

dosimetryradiobiologytriple-negative breast cancerultra-hypofractionation

Identifiers

PMID41007715
PMCPMC12467879

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.