Evidence map›Paper›PMID 35025004›Full record

ReviewBreast cancer research and treatment2022

Hypofractionated proton therapy in breast cancer: where are we? A critical review of the literature.

Daniela Alterio, Eliana La Rocca, Stefania Volpe, Anna Maria Camarda, Alessia Casbarra, William Russell-Edu, Maria Alessia Zerella, Roberto Orecchia, Viviana Galimberti, Paolo Veronesi and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Breast cancer research and treatment, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Proton therapy in Spain: SEOR-SPROMP multidisciplinary recommendations developed through a RAND/UCLA consensus process.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
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.

Daniela Alterio *Department of Radiation Oncology, European Institute of Oncology (IEO) IRCSS, Milan, Italy.
Eliana La Rocca *Department of Radiation Oncology, European Institute of Oncology (IEO) IRCSS, Milan, Italy.
Stefania VolpeDepartment of Radiation Oncology, European Institute of Oncology (IEO) IRCSS, Milan, Italy. stefania.volpe@ieo.it.ORCID http://orcid.org/0000-0003-0498-2964
Anna Maria CamardaDepartment of Radiation Oncology, European Institute of Oncology (IEO) IRCSS, Milan, Italy.
Alessia CasbarraDepartment of Radiation Oncology, European Institute of Oncology (IEO) IRCSS, Milan, Italy.
William Russell-EduLibrary, European Institute of Oncology (IEO) IRCCS, Milan, Italy.
Maria Alessia ZerellaDepartment of Radiation Oncology, European Institute of Oncology (IEO) IRCSS, Milan, Italy.
Roberto OrecchiaScientific Directorate, European Institute of Oncology (IEO) IRCSS, Milan, Italy.
Viviana GalimbertiDivision of Breast Surgery, European Institute of Oncology (IEO) IRCSS, Milan, Italy.
Paolo VeronesiDivision of Breast Surgery, European Institute of Oncology (IEO) IRCSS, Milan, Italy.
Maria Cristina Leonardi *Department of Radiation Oncology, European Institute of Oncology (IEO) IRCSS, Milan, Italy.
Barbara Alicja Jereczek-Fossa *Department of Radiation Oncology, European Institute of Oncology (IEO) IRCSS, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo critically review available literature on hypofractionated (≥ 3 Gy/fraction) proton therapy (PT) for breast cancer (BCa).

methodsA systematic screening of the literature was performed in April 2021 in compliance with the preferred reporting items for systematic reviews and meta-analyses recommendations. All full-text publication written in English were considered eligible. Acute and late toxicities, oncological outcomes and dosimetric features were considered for the analysis.

resultsTwelve publications met the inclusion criteria; all studies but one focused on accelerated partial breast irradiation (APBI). Eleven works considered post-operative patients, one referred to ABPI as a curative-intent modality. The dosimetric profile of PT compared favorably with both photon-based 3D conformal and intensity-modulated techniques, while a more extended follow-up is warranted to fully assess both the long-term toxicities and the non-inferiority of oncological outcomes.

conclusionOur work shows that results on PT for BCa are currently only available for APBI applications, with dosimetric analyses demonstrating a clear advantage over both 3D conformal and intensity modulated X-rays techniques, especially when ≥ 2 treatment fields were used. However, further evidence is needed to define whether such theoretical benefit translates into clinical improvements, especially in the long-term.

Indexed as

Breast NeoplasmsProton TherapyRadiotherapy, ConformalRadiotherapy, Intensity-ModulatedFemaleHumansMastectomy, SegmentalRadiometryAccelerated partial breast irradiationBreast cancerDosimetryProton therapyQuality of life

Identifiers

PMID35025004

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.