Evidence map›Paper›PMID 37491770›Full record

ArticleActa obstetricia et gynecologica Scandinavica2024

Challenges and opportunities for proton therapy during pregnancy.

Jeroen Blommaert, Marijke De Saint-Hubert, Tom Depuydt, Edwin Oldehinkel, Philip Poortmans, Frederic Amant, Maarten Lambrecht

Open access · diamondAbstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Challenges and opportunities for proton therapy during pregnancy.Acta obstetricia et gynecologica Scandinavica · 2024
    Article
  9. Breast cancer during pregnancy-The oncologist's point of view.Acta obstetricia et gynecologica Scandinavica · 2024
    Article
  10. Breast cancer in pregnancy: a comprehensive review of diagnosis, management, and outcomes.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2024
    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 5 institutions in 2 countries.

Jeroen BlommaertDepartment of Oncology, KU Leuven, Leuven, Belgium.
Marijke De Saint-HubertBelgium Nuclear Research Center, Mol, Belgium.
Tom DepuydtDepartment of Oncology, KU Leuven, Leuven, Belgium.
Edwin OldehinkelDepartment of Radiation Oncology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Philip PoortmansRadiation Oncology, Iridium Netwerk & University of Antwerp, Wilrijk, Belgium.
Frederic AmantDepartment of Oncology, KU Leuven, Leuven, Belgium.
Maarten LambrechtDepartment of Oncology, KU Leuven, Leuven, Belgium.
KU Leuven · BEBelgian Nuclear Research Centre · BEIridium Kankernetwerk · BENetherlands Cancer Institute-Antoni van Leeuwenhoek Hospital · NLUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During pregnancy, the use of radiation therapy for cancer treatment is often considered impossible due to the assumed associated fetal risks. However, suboptimal treatment of pregnant cancer patients and unjustifiable delay in radiation therapy until after delivery can be harmful for both patient and child. In non-pregnant patients, proton-radiation therapy is increasingly administered because of its favorable dosimetric properties compared with photon-radiation therapy. Although data on the use of pencil beam scanning proton-radiation therapy during pregnancy are scarce, different case reports and dosimetric studies have indicated a more than 10-fold reduction in fetal radiation exposure compared with photon-radiation therapy. Nonetheless, the implementation of proton-radiation therapy during pregnancy requires complex fetal dosimetry for the neutron-dominated out-of-field radiation dose and faces a lack of clinical guidelines. Further exploration and standardization of proton-radiation therapy during pregnancy will be necessary to improve radiotherapeutic management of pregnant women with cancer and further reduce risks for their offspring.

Indexed as

Proton TherapyFemaleFetusHumansNeutronsPregnancyProtonsRadiometryRadiotherapy DosageProtonscancerfetal radiationpregnancyproton therapyradiation therapy

Identifiers

PMID37491770
PMCPMC10993337
OpenAlexW4385264580

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.