Evidence map›Paper›PMID 36530648›Full record

ArticleAdvances in radiation oncology

Proton Radiation Therapy After Chemotherapy in the Management of Aggressive Mediastinal Non-Hodgkin Lymphomas: A Particle Therapy Cooperative Group Lymphoma Subcommittee Collaboration.

Jonathan A Baron, Christopher M Wright, Russell Maxwell, Michele M Kim, Fantine Giap, Raymond B Mailhot Vega, Bradford S Hoppe, Michael J LaRiviere, Amit Maity, John P Plastaras and 1 more

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Long Term Results of Proton Therapy in Adult Infradiaphragmatic Lymphoma.International journal of particle therapy · 2026
    Article
  3. 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

11 authors at 3 institutions in 1 country.

Jonathan A BaronDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania.
Christopher M WrightDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania.
Russell MaxwellDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania.
Michele M KimDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania.
Fantine GiapDepartment of Radiation Oncology, University of Florida, Jacksonville, Florida.
Raymond B Mailhot VegaDepartment of Radiation Oncology, University of Florida, Jacksonville, Florida.
Bradford S HoppeDepartment of Radiation Oncology, Mayo Clinic, Jacksonville, Florida.
Michael J LaRiviereDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania.
Amit MaityDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania.
John P PlastarasDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania.
Ima PaydarDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania.
University of Pennsylvania · USUniversity of Florida · USWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Combined modality therapy with multiagent chemotherapy and radiation therapy is a standard treatment option for aggressive mediastinal non-Hodgkin lymphomas (AMNHLs); however, concerns regarding acute and late radiation toxicities have fueled an effort to use systemic therapy alone. The use of proton therapy (PT) is a promising treatment option, but there are still limited data regarding clinical outcomes with this treatment modality. In this Particle Therapy Cooperative Group lymphoma subcommittee collaboration, we report outcomes of patients with AMNHL treated with pencil-beam scanning PT or double-scatter PT after chemotherapy. Methods and Materials: This was a multi-institutional retrospective observational cohort study of patients with AMNHL treated with PT following chemotherapy between 2011 and 2021. Progression-free survival (PFS), local recurrence-free survival (LRFS), and overall survival (OS) rates were estimated with the Kaplan-Meier method. PT toxicity was graded by the Common Terminology Criteria for Adverse Events version 5.0. A 2-tailed paired Results: Twenty-nine patients were identified. With a median follow-up time of 4.2 years (range, 0.2-8.9 years), the estimated 5-year PFS for all patients was 93%, 5-year LRFS was 96%, and estimated 5-year OS was 87%. Maximum acute grade 1 (G1) toxicities occurred in 18 patients, and 7 patients had maximum G2 toxicities. No G3+ radiation-related toxicities were observed. Average mean lung dose and lung V20 Gy were lower for patients treated with pencil-beam scanning PT compared with double-scatter PT ( Conclusions: PT after chemotherapy for patients with AMNHL resulted in excellent outcomes with respect to 5-year PFS, LRFS, and OS without high-grade toxicities. Future work with larger sample sizes is warranted to further elucidate the role of PT in the treatment of AMNHL.

Identifiers

PMID36530648
PMCPMC9756380
OpenAlexW4300167344

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.