Evidence map›Paper›PMID 31130616›Full record

ArticleCancers2019

Acute Skin Damage and Late Radiation-Induced Fibrosis and Inflammation in Murine Ears after High-Dose Irradiation.

Annique C Dombrowsky, Jannis Schauer, Matthias Sammer, Andreas Blutke, Dietrich W M Walsh, Benjamin Schwarz, Stefan Bartzsch, Annette Feuchtinger, Judith Reindl, Stephanie E Combs and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 26 citations in OpenAlex.

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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

12 authors at 4 institutions in 1 country.

Annique C DombrowskyInstitute for Radiation Medicine, Helmholtz Zentrum München GmbH, 85764 Neuherberg, Germany. annique.hunger@helmholtz-muenchen.de.ORCID 0000-0003-1822-913X
Jannis SchauerInstitute for Applied Physics and Metrology, Universität der Bundeswehr München, 85577 Neubiberg, Germany. jannis.schauer@unibw.de.
Matthias SammerInstitute for Applied Physics and Metrology, Universität der Bundeswehr München, 85577 Neubiberg, Germany. matthias.sammer@unibw.de.
Andreas BlutkeResearch Unit Analytical Pathology, Helmholtz Zentrum München GmbH, 85764 Neuherberg, Germany. andreas.parzefall@helmholtz-muenchen.de.
Dietrich W M WalshInstitute for Applied Physics and Metrology, Universität der Bundeswehr München, 85577 Neubiberg, Germany. d.walsh@dkfz-heidelberg.de.
Benjamin SchwarzInstitute for Applied Physics and Metrology, Universität der Bundeswehr München, 85577 Neubiberg, Germany. benjamin.schwarz@unibw.de.
Stefan BartzschInstitute for Radiation Medicine, Helmholtz Zentrum München GmbH, 85764 Neuherberg, Germany. stefan.bartzsch@helmholtz-muenchen.de.
Annette FeuchtingerResearch Unit Analytical Pathology, Helmholtz Zentrum München GmbH, 85764 Neuherberg, Germany. annette.feuchtinger@helmholtz-muenchen.de.
Judith ReindlInstitute for Applied Physics and Metrology, Universität der Bundeswehr München, 85577 Neubiberg, Germany. judith.reindl@unibw.de.
Stephanie E CombsInstitute for Radiation Medicine, Helmholtz Zentrum München GmbH, 85764 Neuherberg, Germany. stephanie.combs@helmholtz-muenchen.de.
Günther DollingerInstitute for Applied Physics and Metrology, Universität der Bundeswehr München, 85577 Neubiberg, Germany. guenther.dollinger@unibw.de.
Thomas E SchmidInstitute for Radiation Medicine, Helmholtz Zentrum München GmbH, 85764 Neuherberg, Germany. thomas.schmid@helmholtz-muenchen.de.ORCID 0000-0002-8894-8087
Universität der Bundeswehr München · DETUM Klinikum · DEHelmholtz Zentrum München · DEGerman Cancer Research Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of different scoring systems for radiation-induced toxicity limits comparability between studies. We examined dose-dependent tissue alterations following hypofractionated X-ray irradiation and evaluated their use as scoring criteria. Four dose fractions (0, 5, 10, 20, 30 Gy/fraction) were applied daily to ear pinnae. Acute effects (ear thickness, erythema, desquamation) were monitored for 92 days after fraction 1. Late effects (chronic inflammation, fibrosis) and the presence of transforming growth factor beta 1 (TGFβ1)-expressing cells were quantified on day 92. The maximum ear thickness displayed a significant positive correlation with fractional dose. Increased ear thickness and erythema occurred simultaneously, followed by desquamation from day 10 onwards. A significant dose-dependency was observed for the severity of erythema, but not for desquamation. After 4 × 20 and 4 × 30 Gy, inflammation was significantly increased on day 92, whereas fibrosis and the abundance of TGFβ1-expressing cells were only marginally increased after 4 × 30 Gy. Ear thickness significantly correlated with the severity of inflammation and fibrosis on day 92, but not with the number of TGFβ1-expressing cells. Fibrosis correlated significantly with inflammation and fractional dose. In conclusion, the parameter of ear thickness can be used as an objective, numerical and dose-dependent quantification criterion to characterize the severity of acute toxicity and allow for the prediction of late effects.

Indexed as

acutefractionated radiotherapyhigh-dosehypofractionationlateside effectsskin

Identifiers

PMID31130616
PMCPMC6562452
OpenAlexW2946363288

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.