Evidence map›Paper›PMID 38379895›Full record

ArticleAdvances in radiation oncology2024

Preclinical Ultra-High Dose Rate (FLASH) Proton Radiation Therapy System for Small Animal Studies.

Ning Cao, Danielle P Johnson Erickson, Eric C Ford, Robert C Emery, Marissa Kranz, Peter Goff, Marco Schwarz, Juergen Meyer, Tony Wong, Jatinder Saini and 8 more

Open access · goldAbstract read
In one paragraph

Article in Advances in radiation oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Microenvironmental remodeling in FLASH radiotherapy.Frontiers in cell and developmental biology · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. FLASH proton reirradiation, with or without hypofractionation, reduces chronic toxicity in the normal murine intestine, skin, and bone.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2025
    Article
  15. Review
  16. 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 1 institution in 1 country.

Ning CaoDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Danielle P Johnson EricksonDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Eric C FordDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Robert C EmeryDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Marissa KranzDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Peter GoffDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Marco SchwarzDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Juergen MeyerDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Tony WongDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Jatinder SainiDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Charles BlochDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Robert D StewartDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
George A SandisonDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Alec MorimotoDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Ava DeLonais-DickDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Ben A ShaverDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Ramesh RenganDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
Jing ZengDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington.
University of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Animal studies with ultrahigh dose-rate radiation therapy (FLASH, >40 Gy/s) preferentially spare normal tissues without sacrificing antitumor efficacy compared with conventional dose-rate radiation therapy (CONV). At the University of Washington, we developed a cyclotron-generated preclinical scattered proton beam with FLASH dose rates. We present the technical details of our FLASH radiation system and preliminary biologic results from whole pelvis radiation. Methods and Materials: A Scanditronix MC50 compact cyclotron beamline has been modified to produce a 48.7 MeV proton beam at dose rates between 0.1 and 150 Gy/s. The system produces a 6 cm diameter scattered proton beam (flat to ± 3%) at the target location. Female C57BL/6 mice 5 to 6 weeks old were used for all experiments. To study normal tissue effects in the distal colon, mice were irradiated using the entrance region of the proton beam to the whole pelvis, 18.5 Gy at different dose rates: control, CONV (0.6-1 Gy/s) and FLASH (50-80 Gy/s). Survival was monitored daily and EdU (5-ethynyl-2´-deoxyuridine) staining was performed at 24- and 96-hours postradiation. Cleaved caspase-3 staining was performed 24-hours postradiation. To study tumor control, allograft B16F10 tumors were implanted in the right flank and received 18 Gy CONV or FLASH proton radiation. Tumor growth and survival were monitored. Results: After 18.5 Gy whole pelvis radiation, survival was 100% in the control group, 0% in the CONV group, and 44% in the FLASH group ( Conclusions: We present our preclinical FLASH proton radiation system and biologic results showing improved survival after whole pelvis radiation, with equivalent tumor control.

Identifiers

PMID38379895
PMCPMC10877683
OpenAlexW4389848576

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.