Evidence map›Paper›PMID 38298885›Full record

ReviewPhysics and imaging in radiation oncology2024

A review of the clinical introduction of 4D particle therapy research concepts.

Barbara Knäusl, Gabriele Belotti, Jenny Bertholet, Juliane Daartz, Stella Flampouri, Mischa Hoogeman, Antje C Knopf, Haibo Lin, Astrid Moerman, Chiara Paganelli and 7 more

Abstract readReview
In one paragraph

Review in Physics and imaging in radiation oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. The role of 4D particle therapy in daily patient care and research.Physics and imaging in radiation oncology · 2024
    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

17 authors.

Barbara KnäuslDepartment of Radiation Oncology, Medical University of Vienna, Vienna, Austria.
Gabriele BelottiDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy.
Jenny BertholetDivision of Medical Radiation Physics and Department of Radiation Oncology, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland.
Juliane DaartzDepartment of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Stella FlampouriEmory University, Radiation Oncology, Atlanta, USA.
Mischa HoogemanDepartment of Medical Physics & Informatics, HollandPTC, Delft, The Netherlands.
Antje C KnopfInstitut für Medizintechnik und Medizininformatik Hochschule für Life Sciences FHNW, Muttenz, Switzerland.
Haibo LinNew York Proton Center, New York, NY, USA.
Astrid MoermanDepartment of Medical Physics & Informatics, HollandPTC, Delft, The Netherlands.
Chiara PaganelliDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy.
Antoni RucinskiInstitute of Nuclear Physics Polish Academy of Sciences, PL-31342 Krakow, Poland.
Reinhard SchulteDivision of Biomedical Engineering Sciences, School of Medicine, Loma Linda University.
Shing ShimizuDepartment of Carbon Ion Radiotherapy, Osaka University Graduate School of Medicine, Osaka, Japan.
Kristin StützerOncoRay - National Center for Radiation Research in Oncology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Xiaodong ZhangDepartment of Radiation Physics, Division of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Ye ZhangCenter for Proton Therapy, Paul Scherrer Institute, Villigen PSI, Switzerland.
Katarzyna CzerskaCenter for Proton Therapy, Paul Scherrer Institute, Villigen PSI, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: Many 4D particle therapy research concepts have been recently translated into clinics, however, remaining substantial differences depend on the indication and institute-related aspects. This work aims to summarise current state-of-the-art 4D particle therapy technology and outline a roadmap for future research and developments. Material and methods: This review focused on the clinical implementation of 4D approaches for imaging, treatment planning, delivery and evaluation based on the 2021 and 2022 Results: Available technological capabilities for motion surveillance and compensation determined the course of each 4D particle treatment. 4D motion management, delivery techniques and strategies including imaging were diverse and depended on many factors. These included aspects of motion amplitude, tumour location, as well as accelerator technology driving the necessity of centre-specific dosimetric validation. Novel methodologies for X-ray based image processing and MRI for real-time tumour tracking and motion management were shown to have a large potential for online and offline adaptation schemes compensating for potential anatomical changes over the treatment course. The latest research developments were dominated by particle imaging, artificial intelligence methods and FLASH adding another level of complexity but also opportunities in the context of 4D treatments. Conclusion: This review showed that the rapid technological advances in radiation oncology together with the available intrafractional motion management and adaptive strategies paved the way towards clinical implementation.

Indexed as

4D dose reconstruction4D imaging4D Treatment Workshop for Particle TherapyAdaptive workflowsIntrafractional motionMotion managementParticle therapy

Identifiers

PMID38298885
PMCPMC10828898

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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.