Evidence map›Paper›PMID 30414912›Full record

ArticleInternational journal of radiation oncology, biology, physics2019

Oxygen-Guided Radiation Therapy.

Boris Epel, Matthew C Maggio, Eugene D Barth, Richard C Miller, Charles A Pelizzari, Martyna Krzykawska-Serda, Subramanian V Sundramoorthy, Bulent Aydogan, Ralph R Weichselbaum, Victor M Tormyshev and 1 more

Open access · greenAbstract read
In one paragraph

Article in International journal of radiation oncology, biology, physics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
11.8field-weighted citation impact, top 1% 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

64 citing papers in PubMed, 107 citations in OpenAlex.

  1. A Practical, Noninvasive Urine Collection Method for Mice for Large Cohort Preclinical Studies.Journal of the American Association for Laboratory Animal Science : JAALAS · 2026
    Article
  2. Early Radiation Therapy Response Assessment Using Multi-Scale Photoacoustic Imaging.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  3. Article
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  5. Letting Biology Validate the EPR Imaging of Tumor pOAdvances in experimental medicine and biology · 2026
    Article
  6. Reconfigurable animal bed-EPR resonator assembly for multimodal co-registration.Journal of magnetic resonance (San Diego, Calif. : 1997) · 2026
    Article
  7. Review
  8. Computationally efficient 4D spectral-spatial EPR imaging.Journal of magnetic resonance (San Diego, Calif. : 1997) · 2025
    Article
  9. Article
  10. Article
  11. Magnetic Resonance Imaging Sequences and Technologies in Adaptive Radiation Therapy.International journal of radiation oncology, biology, physics · 2025
    Review
  12. Article
  13. Accelerated EPR imaging using deep learning denoising.Magnetic resonance in medicine · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Validation of the design of a high-sensitivity and high-resolution PET system for a preclinical PET/EPR hybrid scanner.Nuclear instruments & methods in physics research. Section A, Accelerators, spectrometers, detectors and associated equipment · 2024
    Article
  20. Article

4 more citing papers are in PubMed but not listed here.

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 at 3 institutions in 2 countries.

Boris EpelNational Institutes of Health Center for EPR Imaging In Vivo Physiology, University of Chicago, Chicago, Illinois; Department of Radiation and Cellular Oncology, University of Chicago, Chicago, Illinois.
Matthew C MaggioNational Institutes of Health Center for EPR Imaging In Vivo Physiology, University of Chicago, Chicago, Illinois; Department of Radiation and Cellular Oncology, University of Chicago, Chicago, Illinois.
Eugene D BarthNational Institutes of Health Center for EPR Imaging In Vivo Physiology, University of Chicago, Chicago, Illinois; Department of Radiation and Cellular Oncology, University of Chicago, Chicago, Illinois.
Richard C MillerNational Institutes of Health Center for EPR Imaging In Vivo Physiology, University of Chicago, Chicago, Illinois; Department of Radiation and Cellular Oncology, University of Chicago, Chicago, Illinois.
Charles A PelizzariNational Institutes of Health Center for EPR Imaging In Vivo Physiology, University of Chicago, Chicago, Illinois; Department of Radiation and Cellular Oncology, University of Chicago, Chicago, Illinois.
Martyna Krzykawska-SerdaNational Institutes of Health Center for EPR Imaging In Vivo Physiology, University of Chicago, Chicago, Illinois; Department of Radiation and Cellular Oncology, University of Chicago, Chicago, Illinois.
Subramanian V SundramoorthyNational Institutes of Health Center for EPR Imaging In Vivo Physiology, University of Chicago, Chicago, Illinois; Department of Radiation and Cellular Oncology, University of Chicago, Chicago, Illinois.
Bulent AydoganDepartment of Radiation and Cellular Oncology, University of Chicago, Chicago, Illinois.
Ralph R WeichselbaumNational Institutes of Health Center for EPR Imaging In Vivo Physiology, University of Chicago, Chicago, Illinois; Department of Radiation and Cellular Oncology, University of Chicago, Chicago, Illinois; Ludwig Center for Metastasis Research, University of Chicago, Chicago, Illinois.
Victor M TormyshevNational Institutes of Health Center for EPR Imaging In Vivo Physiology, University of Chicago, Chicago, Illinois; Novosibirsk Institute of Organic Chemistry, Novosibirsk, Russia; Novosibirsk State University, Novosibirsk, Russia.
Howard J HalpernNational Institutes of Health Center for EPR Imaging In Vivo Physiology, University of Chicago, Chicago, Illinois; Department of Radiation and Cellular Oncology, University of Chicago, Chicago, Illinois. Electronic address: h-halpern@uchicago.edu.
National Institutes of Health · USUniversity of Chicago · USNovosibirsk Institute of Organic Chemistry · RU

Funding

Very Low Frequency EPR Imaging in Vivo Phisiology P41 EB02034P41EB002034 · NIBIB · UNIVERSITY OF CHICAGO · PI HALPERN, HOWARD J · 2003 to 2017
$16.1M
Radiation Biology of EPR Oxygen ImagesR01CA098575 · NCI · UNIVERSITY OF CHICAGO · PI HALPERN, HOWARD J · 2003 to 2022
$4.5M
Optimization of Cancer Therapy guided by oxygen, pH, thiol and other parametric imagesR50CA211408 · NCI · UNIVERSITY OF CHICAGO · PI EPEL, BORIS · 2016 to 2020
$637k
NCI NIH HHS R01 CA098575NCI NIH HHS R50 CA211408NIBIB NIH HHS P41 EB002034
6 · The paper itself

Abstract

purposeIt has been known for over 100 years that tumor hypoxia, a near-universal characteristic of solid tumors, decreases the curative effectiveness of radiation therapy. However, to date, there are no reports that demonstrate an improvement in radiation effectiveness in a mammalian tumor on the basis of tumor hypoxia localization and local hypoxia treatment. METHODS AND MATERIALS: For radiation targeting of hypoxic subregions in mouse fibrosarcoma, we used oxygen images obtained using pulse electron paramagnetic resonance pO

resultsWe demonstrate that treatment delivering a radiation boost to hypoxic volumes has a significant (P = .04) doubling of tumor control relative to boosts to well-oxygenated volumes. Additional dose to well-oxygenated tumor regions minimally increases tumor control beyond the 15% control dose to the entire tumor. If we can identify portions of the tumor that are more resistant to radiation, it might be possible to reduce the dose to more sensitive tumor volumes without significant compromise in tumor control.

conclusionsThis work demonstrates in a single, intact mammalian tumor type that tumor hypoxia is a local tumor phenomenon whose treatment can be enhanced by local radiation. Despite enormous clinical effort to overcome hypoxic radiation resistance, to our knowledge this is the first such demonstration, even in preclinical models, of targeting additional radiation to hypoxic tumor to improve the therapeutic ratio.

Indexed as

AnimalsCell Line, TumorElectron Spin Resonance SpectroscopyKaplan-Meier EstimateMiceOxygenRadiotherapy, Image-GuidedTumor HypoxiaOxygen

Identifiers

PMID30414912
PMCPMC6478443
OpenAlexW2899852478

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.