Evidence map›Paper›PMID 33080914›Full record

ReviewCancers2020

Carbon Ion Radiobiology.

Walter Tinganelli, Marco Durante

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 134 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed, 3 pooled it
14.3field-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.

NCT05203250 recruitingnot on this mapstarted 2021, after this paper: background citation

CNAO REgistry triAL - REGAL

Typeobservational_patient_registrySponsorCNAO National Center of Oncological HadrontherapyRan2021 to 2071Enrolled3,000ConditionsCancer, Oncology, Radiation Exposure, Radiotherapy Side EffectArmsHeavy-ion therapy (hadrontherapy)
NCT07702838 narecruitingnot on this mapstarted 2026, after this paper: background citation

A Prospective Clinical Study of Immunotherapy Combined With Carbon Ion Radiotherapy for Locally Advanced Cervical Cancer

TypeinterventionalSponsorZhejiang Cancer HospitalRan2026 to 2030Enrolled30ConditionsUterine Cervical NeoplasmsArmsCarbon ion external beam radiotherapy plus 3 courses of three-dimensional brachytherapy.
3 · Its place in the literature

Who cites it

134 citing papers in PubMed, 3 syntheses or guidelines pooled it, 226 citations in OpenAlex.

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74 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

2 authors at 1 institution in 1 country.

Walter TinganelliBiophysics Department, GSI Helmholtzzentrum für Schwerionenforchung, Planckstraße 1, 64291 Darmstadt, Germany.
Marco DuranteBiophysics Department, GSI Helmholtzzentrum für Schwerionenforchung, Planckstraße 1, 64291 Darmstadt, Germany.ORCID 0000-0002-4615-553X
GSI Helmholtz Centre for Heavy Ion Research · DE

Funding

Horizon 2020 Framework Programme 730983 INSPIRE
6 · The paper itself

Abstract

Radiotherapy using accelerated charged particles is rapidly growing worldwide. About 85% of the cancer patients receiving particle therapy are irradiated with protons, which have physical advantages compared to X-rays but a similar biological response. In addition to the ballistic advantages, heavy ions present specific radiobiological features that can make them attractive for treating radioresistant, hypoxic tumors. An ideal heavy ion should have lower toxicity in the entrance channel (normal tissue) and be exquisitely effective in the target region (tumor). Carbon ions have been chosen because they represent the best combination in this direction. Normal tissue toxicities and second cancer risk are similar to those observed in conventional radiotherapy. In the target region, they have increased relative biological effectiveness and a reduced oxygen enhancement ratio compared to X-rays. Some radiobiological properties of densely ionizing carbon ions are so distinct from X-rays and protons that they can be considered as a different "drug" in oncology, and may elicit favorable responses such as an increased immune response and reduced angiogenesis and metastatic potential. The radiobiological properties of carbon ions should guide patient selection and treatment protocols to achieve optimal clinical results.

Indexed as

carbon ionshypoxiaimmunotherapymetastasisparticle therapyradiobiologyradiotherapyRBE

Identifiers

PMID33080914
PMCPMC7603235
OpenAlexW3091572031

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.