Evidence map›Paper›PMID 37590482›Full record

ArticleRadiation research2023

Comparison of Tumor Control and Skin Damage in a Mouse Model after Ultra-High Dose Rate Irradiation and Conventional Irradiation.

Kayla E A Duval, Ethan Aulwes, Rongxiao Zhang, Mahbubur Rahman, M Ramish Ashraf, Austin Sloop, Jacob Sunnerberg, Benjamin B Williams, Xu Cao, Petr Bruza and 8 more

Open access · greenAbstract read
In one paragraph

Article in Radiation research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Timescale of FLASH Sparing Effect Determined by Varying Temporal Split of Dose Delivery in Mice.International journal of radiation oncology, biology, physics · 2026
    Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review of optical reporters of radiation effectsJournal of biomedical optics · 2023
    Review
  12. Article
  13. 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

18 authors at 2 institutions in 1 country.

Kayla E A DuvalGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Ethan AulwesGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Rongxiao ZhangGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Mahbubur RahmanThayer School of Engineering, Dartmouth College, Hanover, New Hampshire.
M Ramish AshrafGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Austin SloopThayer School of Engineering, Dartmouth College, Hanover, New Hampshire.
Jacob SunnerbergThayer School of Engineering, Dartmouth College, Hanover, New Hampshire.
Benjamin B WilliamsGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Xu CaoThayer School of Engineering, Dartmouth College, Hanover, New Hampshire.
Petr BruzaThayer School of Engineering, Dartmouth College, Hanover, New Hampshire.
Alireza KheirollahGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Armin TavakkoliGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Lesley A JarvisGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Philip E SchanerGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Harold M SwartzGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
David J GladstoneGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Brian W PogueGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
P Jack HoopesGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Dartmouth College · USDartmouth–Hitchcock Medical Center · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Optimization of MeV FLASH radiotherapy for normal tissue preservationU01CA260446 · NCI · DARTMOUTH COLLEGE · PI David J. Gladstone, Jack Hoopes · 2022 to 2026
$3.1M
NCI NIH HHS P30 CA023108NCI NIH HHS U01 CA260446
6 · The paper itself

Abstract

Recent studies suggest ultra-high dose rate radiation treatment (UHDR-RT) reduces normal tissue damage compared to conventional radiation treatment (CONV-RT) at the same dose. In this study, we compared first, the kinetics and degree of skin damage in wild-type C57BL/6 mice, and second, tumor treatment efficacy in GL261 and B16F10 dermal tumor models, at the same UHDR-RT and CONV-RT doses. Flank skin of wild-type mice received UHDR-RT or CONV-RT at 25 Gy and 30 Gy. Normal skin damage was tracked by clinical observation to determine the time to moist desquamation, an endpoint which was verified by histopathology. Tumors were inoculated on the right flank of the mice, then received UHDR-RT or CONV-RT at 1 × 11 Gy, 1 × 15, 1 × 25, 3 × 6 and 3 × 8 Gy, and time to tumor tripling volume was determined. Tumors also received 1 × 11, 1 × 15, 3 × 6 and 3 × 8 Gy doses for assessment of CD8+/CD4+ tumor infiltrate and genetic expression 96 h postirradiation. All irradiations of the mouse tumor or flank skin were performed with megavoltage electron beams (10 MeV, 270 Gy/s for UHDR-RT and 9 MeV, 0.12 Gy/s for CONV-RT) delivered via a clinical linear accelerator. Tumor control was statistically equal for similar doses of UHDR-RT and CONV-RT in B16F10 and GL261 murine tumors. There were variable qualitative differences in genetic expression of immune and cell damage-associated pathways between UHDR and CONV irradiated B16F10 tumors. Compared to CONV-RT, UHDR-RT resulted in an increased latent period to skin desquamation after a single 25 Gy dose (7 days longer). Time to moist skin desquamation did not significantly differ between UHDR-RT and CONV-RT after a 30 Gy dose. The histomorphological characteristics of skin damage were similar for UHDR-RT and CONV-RT. These studies demonstrated similar tumor control responses for equivalent single and fractionated radiation doses, with variable difference in expression of tumor progression and immune related gene pathways. There was a modest UHDR-RT skin sparing effect after a 1 × 25 Gy dose but not after a 1 × 30 Gy dose.

Indexed as

NeoplasmsRadiation InjuriesAnimalsDisease Models, AnimalMiceMice, Inbred C57BLRadiotherapy DosageSkin

Identifiers

PMID37590482
PMCPMC10551764
OpenAlexW4385924447

What OpenQuestion holds

Textmetadata
LicenceTDM
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.