Evidence map›Paper›PMID 33021102›Full record

ReviewThe British journal of radiology2020

Heavy charged particle beam therapy and related new radiotherapy technologies: The clinical potential, physics and technical developments required to deliver benefit for patients with cancer.

Karen Joy Kirkby, Norman Francis Kirkby, Neil Gunn Burnet, Hywel Owen, Ranald Iain Mackay, Adrian Crellin, Stuart Green

Open access · bronzeAbstract readReview
In one paragraph

Review in The British journal of radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Track Structure-Based Simulations on DNA Damage Induced by Diverse Isotopes.International journal of molecular sciences · 2022
    Article
  12. Article
  13. Fixed Beamline Optimization for Intensity Modulated Carbon-Ion Therapy.IEEE transactions on radiation and plasma medical sciences · 2022
    Article
  14. Review
  15. Article
  16. Review
  17. 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

7 authors at 4 institutions in 1 country.

Karen Joy KirkbyDivision of Cancer Sciences, University of Manchester, Manchester Cancer Research Centre, Manchester Academic Health Science Centre, Manchester, United Kingdom.ORCID https://orcid.org/0000-0002-0901-210X
Norman Francis KirkbyDivision of Cancer Sciences, University of Manchester, Manchester Cancer Research Centre, Manchester Academic Health Science Centre, Manchester, United Kingdom.
Neil Gunn BurnetDivision of Cancer Sciences, University of Manchester, Manchester Cancer Research Centre, Manchester Academic Health Science Centre, Manchester, United Kingdom.
Hywel OwenUniversity of Manchester/Cockcroft Institute, Manchester, United Kingdom.
Ranald Iain MackayDivision of Cancer Sciences, University of Manchester, Manchester Cancer Research Centre, Manchester Academic Health Science Centre, Manchester, United Kingdom.
Adrian CrellinNHS England National Clinical Lead Proton Beam Therapy, Leeds Cancer Centre, Leeds Teaching Hospitals Trust, Leeds, UK.
Stuart GreenDepartment of Medical Physics, University Hospital Birmingham, Birmingham, Edgbaston, UK.
Manchester Academic Health Science Centre · GBCockcroft Institute · GBLeeds Teaching Hospitals NHS Trust · GBThe Edgbaston Hospital · GB

Funding

Cancer Research UK 28701
6 · The paper itself

Abstract

In the UK, one in two people will develop cancer during their lifetimes and radiotherapy (RT) plays a key role in effective treatment. High energy proton beam therapy commenced in the UK National Health Service in 2018. Heavier charged particles have potential advantages over protons by delivering more dose in the Bragg peak, with a sharper penumbra, lower oxygen dependence and increased biological effectiveness. However, they also require more costly equipment including larger gantries to deliver the treatment. There are significant uncertainties in the modelling of relative biological effectiveness and the effects of the fragmentation tail which can deliver dose beyond the Bragg peak. These effects need to be carefully considered especially in relation to long-term outcomes.In 2019, a group of clinicians, clinical scientists, engineers, physical and life scientists from academia and industry, together with funding agency stakeholders, met to consider how the UK should address new technologies for RT, especially the use of heavier charged particles such as helium and carbon and new modes of delivery such as FLASH and spatially fractionated radiotherapy (SFRT).There was unanimous agreement that the UK should develop a facility for heavier charged particle therapy, perhaps constituting a new National Ion Research Centre to enable research using protons and heavier charged particles. Discussion followed on the scale and features, including which ions should be included, from protons through helium, boron, and lithium to carbon, and even oxygen. The consensus view was that any facility intended to treat patients must be located in a hospital setting while providing dedicated research space for physics, preclinical biology and clinical research with beam lines designed for both

Indexed as

Dose Fractionation, RadiationHeavy Ion RadiotherapyHumansNeoplasmsUnited Kingdom

Identifiers

PMID33021102
PMCPMC7715999
OpenAlexW3089486568

What OpenQuestion holds

Textmetadata
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.