Evidence map›Paper›PMID 34765804›Full record

ArticleAdvances in radiation oncology

The Organ Sparing Potential of Different Biological Optimization Strategies in Proton Therapy.

Helge Henjum, Tordis J Dahle, Lars Fredrik Fjæra, Eivind Rørvik, Sara Pilskog, Camilla H Stokkevåg, Andrea Mairani, Kristian S Ytre-Hauge

Open access · goldAbstract read
In one paragraph

Article in Advances in radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Dynamic Proton arc therapy for paediatric parameningeal rhabdomyosarcoma.Journal of applied clinical medical physics · 2026
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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

8 authors at 3 institutions in 3 countries.

Helge HenjumDepartment of Physics and Technology, University of Bergen, Bergen, Norway.
Tordis J DahleDepartment of Physics and Technology, University of Bergen, Bergen, Norway.
Lars Fredrik FjæraDepartment of Physics and Technology, University of Bergen, Bergen, Norway.
Eivind RørvikDepartment of Physics and Technology, University of Bergen, Bergen, Norway.
Sara PilskogDepartment of Physics and Technology, University of Bergen, Bergen, Norway.
Camilla H StokkevågDepartment of Physics and Technology, University of Bergen, Bergen, Norway.
Andrea MairaniCentro Nazionale di Adroterapia Oncologica (CNAO Foundation), Pavia, Italy.
Kristian S Ytre-HaugeDepartment of Physics and Technology, University of Bergen, Bergen, Norway.
University of Bergen · NOHaukeland University Hospital · NOHeidelberger Institut für Radioonkologie · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVariable relative biological effectiveness (RBE) models allow for differences in linear energy transfer (LET), physical dose, and tissue type to be accounted for when quantifying and optimizing the biological damage of protons. These models are complex and fraught with uncertainties, and therefore, simpler RBE optimization strategies have also been suggested. Our aim was to compare several biological optimization strategies for proton therapy by evaluating their performance in different clinical cases. METHODS AND MATERIALS: Two different optimization strategies were compared: full variable RBE optimization and differential RBE optimization, which involve applying fixed RBE for the planning target volume (PTV) and variable RBE in organs at risk (OARs). The optimization strategies were coupled to 2 variable RBE models and 1 LET-weighted dose model, with performance demonstrated on 3 different clinical cases: brain, head and neck, and prostate tumors.

resultsIn cases with low

conclusionsDifferences between the optimization strategies varied across the studied cases, influenced by both biological and physical parameters. Whereas full RBE optimization showed greater OAR sparing, awareness of underdosage to the target must be carefully considered.

Identifiers

PMID34765804
PMCPMC8573123
OpenAlexW3195583546

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.