Evidence map›Paper›PMID 31073304›Full record

ReviewDermatology research and practice2019

Radiotherapy for Melanoma: More than DNA Damage.

Susanne J Rogers, Emsad Puric, Brigitte Eberle, Niloy R Datta, Stephan B Bodis

Open access · goldAbstract readReview
In one paragraph

Review in Dermatology research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

16 citing papers in PubMed, 38 citations in OpenAlex.

  1. Review
  2. Integrated approaches to sensitizing melanoma to radiotherapy.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
    Review
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  9. Article
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  11. Article
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  14. Targeting Genome Stability in Melanoma-A New Approach to an Old Field.International journal of molecular sciences · 2021
    Review
  15. Article
  16. 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

5 authors at 2 institutions in 1 country.

Susanne J RogersCentre for Radiation Oncology KSA-KSB, Kantonsspital Aarau, Aarau 5001, Switzerland.ORCID 0000-0003-0094-1890
Emsad PuricCentre for Radiation Oncology KSA-KSB, Kantonsspital Aarau, Aarau 5001, Switzerland.
Brigitte EberleCentre for Radiation Oncology KSA-KSB, Kantonsspital Aarau, Aarau 5001, Switzerland.ORCID 0000-0002-9137-4854
Niloy R DattaCentre for Radiation Oncology KSA-KSB, Kantonsspital Aarau, Aarau 5001, Switzerland.ORCID 0000-0003-1680-5578
Stephan B BodisCentre for Radiation Oncology KSA-KSB, Kantonsspital Aarau, Aarau 5001, Switzerland.ORCID 0000-0003-1078-8711
Kantonsspital Aarau · CHUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite its reputation as a radioresistant tumour, there is evidence to support a role for radiotherapy in patients with melanoma and we summarise current clinical practice. Melanoma is a highly immunogenic tumour and in this era of immunotherapy, there is renewed interest in the potential of irradiation, not only as an adjuvant and palliative treatment, but also as an immune stimulant. It has long been known that radiation causes not only DNA strand breaks, apoptosis, and necrosis, but also immunogenic modulation and cell death through the induction of dendritic cells, cell adhesion molecules, death receptors, and tumour-associated antigens, effectively transforming the tumour into an individualised vaccine. This immune response can be enhanced by the application of clinical hyperthermia as evidenced by randomised trial data in patients with melanoma. The large fraction sizes used in cranial radiosurgery and stereotactic body radiotherapy are more immunogenic than conventional fractionation, which provides additional radiobiological justification for these techniques in this disease entity. Given the immune priming effect of radiotherapy, there is a strong but complex biological rationale and an increasing body of evidence for synergy in combination with immune checkpoint inhibitors, which are now first-line therapy in patients with recurrent or metastatic melanoma. There is great potential to increase local control and abscopal effects by combining radiotherapy with both immunotherapy and hyperthermia, and a combination of all three modalities is suggested as the next important trial in this refractory disease.

Identifiers

PMID31073304
PMCPMC6470446
OpenAlexW2931675979

What OpenQuestion 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 OpenQuestion graph.