Evidence map›Paper›PMID 41316325›Full record

ArticleRadiation oncology (London, England)2025

Partial abdominal carbon-ion FLASH irradiation spares lethality compared to conventional irradiation: impact of LET and dose rate.

Wenteng Cao, Yukari Yoshida, Hiromu Suda, Shunsuke Inagaki, Naoto Urabe, Masao Nakao, Ken Yusa, Xiangdi Meng, Mutsumi Tashiro, Akihisa Takahashi and 1 more

Abstract readComparative Study
In one paragraph

Article in Radiation oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Microenvironmental remodeling in FLASH radiotherapy.Frontiers in cell and developmental biology · 2026
    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

11 authors.

Wenteng CaoDepartment of Radiation Oncology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Yukari YoshidaGunma University Heavy Ion Medical Center, Maebashi, Japan. yyukari@gunma-u.ac.jp.
Hiromu SudaGunma University Heavy Ion Medical Center, Maebashi, Japan.
Shunsuke InagakiGunma University Heavy Ion Medical Center, Maebashi, Japan.
Naoto UrabeGunma University Heavy Ion Medical Center, Maebashi, Japan.
Masao NakaoGunma University Heavy Ion Medical Center, Maebashi, Japan.
Ken YusaGunma University Heavy Ion Medical Center, Maebashi, Japan.
Xiangdi MengDepartment of Radiation Oncology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Mutsumi TashiroGunma University Heavy Ion Medical Center, Maebashi, Japan.
Akihisa TakahashiGunma University Heavy Ion Medical Center, Maebashi, Japan.
Tatsuya OhnoDepartment of Radiation Oncology, Gunma University Graduate School of Medicine, Maebashi, Japan.

Funding

JSPS KAKENHI 23K07200
6 · The paper itself

Abstract

backgroundUltra-high dose rate (FLASH) therapy has attracted attention for its potential to effectively target tumors while preserving healthy tissues. Although the biological effects of FLASH therapy have been well-documented with electrons, photons, and protons, data regarding carbon-ions are limited. This study aimed to investigate the biological effects of carbon-ions on the intestines of mice to determine whether carbon-ions exhibit the FLASH effect. Simultaneously, we aimed to identify the parameters influencing its occurrence. MATERIALS AND

methodsPartial abdominal irradiation was performed on C3H/He mice using 290 MeV/u FLASH and conventional dose rate (CONV) carbon-ions under both low and high linear energy transfer (LET). The evaluation included the 30-day survival rate, body weight changes, and stool pellet alterations within 14 days after irradiation. Furthermore, we assessed the number of regenerating crypts 3.5 days after irradiation.

resultsUnder low-LET, FLASH and CONV irradiation exhibited comparable sparing effects on normal intestinal tissues. However, FLASH significantly improved the survival rate of mice under high-LET, when the dose rate exceeded 100 Gy/s. The number of regenerating crypts 3.5 days after irradiation was 1.5 times higher in the FLASH group than in the CONV group.

conclusionsThe results indicate that carbon-ion FLASH exhibits the FLASH effect at high-LET with dose rate and LET identified as critical parameters influencing the FLASH effect.

Indexed as

AbdomenHeavy Ion RadiotherapyIntestinesLinear Energy TransferAnimalsCarbonMaleMiceMice, Inbred C3HRadiotherapy DosageSurvival RateCarbonCarbon-ionsDose rateFLASHLinear energy transfer (LET)Mouse intestine

Identifiers

PMID41316325
PMCPMC12699875

What Socratic holds

Textmetadata
LicenceCC BY
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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.