Evidence map›Paper›PMID 39045310›Full record

ArticleNeuro-oncology advances

Impact of intensity-modulated proton therapy in reducing radiation-induced lymphopenia in glioma patients.

Anindita Das, Jacinthlyn Sylvia, Ganapathy Krishnan, Pankaj Kumar Panda, Preethi Subramanyam, Roopesh Kumar, Rajendran Adhithyan, Sushama Patil, Dayananda Sharma, Rakesh Jalali

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Article in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Anindita DasDepartment of Radiation Oncology, Neuro Oncology Cancer Management Team, Apollo Proton Cancer Centre, Chennai, India.ORCID https://orcid.org/0000-0002-6828-2900
Jacinthlyn SylviaDepartment of Radiation Oncology, Neuro Oncology Cancer Management Team, Apollo Proton Cancer Centre, Chennai, India.
Ganapathy KrishnanDepartment of Medical Physics, Apollo Proton Cancer Centre, Chennai, India.
Pankaj Kumar PandaDepartment of Clinical Research, Apollo Proton Cancer Centre, Chennai, India.
Preethi SubramanyamDepartment of Radiation Oncology, Neuro Oncology Cancer Management Team, Apollo Proton Cancer Centre, Chennai, India.
Roopesh KumarDepartment of Neurosurgery, Neuro Oncology Cancer Management Team, Apollo Proton Cancer Centre, Chennai, India.
Rajendran AdhithyanDepartment of Diagnostic & Intervention Radiology, Neuro Oncology Cancer Management Team, Apollo Proton Cancer Centre, Chennai, India.
Sushama PatilDepartment of Pathology, Neuro Oncology Cancer Management Team, Apollo Proton Cancer Centre, Chennai, India.
Dayananda SharmaDepartment of Medical Physics, Apollo Proton Cancer Centre, Chennai, India.
Rakesh JalaliDepartment of Radiation Oncology, Neuro Oncology Cancer Management Team, Apollo Proton Cancer Centre, Chennai, India.ORCID https://orcid.org/0000-0002-0318-5536

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Current standard management in adult grades 2-4 gliomas includes maximal safe resection followed by adjuvant radiotherapy (RT) and chemotherapy. Radiation-induced lymphopenia (RIL) has been shown to possibly affect treatment outcomes adversely. Proton beam therapy (PBT) may reduce the volume of the normal brain receiving moderate radiation doses, and consequently RIL. Our aim was to evaluate the incidence and severity of RIL during proton beam therapy (PBT). Methods: We identified patients with grades 2-4 glioma treated with PBT at our center between January 2019 and December 2021. We evaluated the incidence and severity of RIL from weekly complete blood count (CBC) data collected during PBT and compared it to the patients who were treated with photon-based RT (XRT) at our center during the same time. Results: The incidence of any degree of lymphopenia (48% in PBT, vs. 81.2% in XRT, Conclusions: Proton therapy seems to have a superior sparing of normal brain to moderate dose radiation than photon-based RT and reduces the incidence of lymphopenia. Glioma patients with lymphopenia possibly have worse outcomes than the ones with maintained lymphocyte counts.

Indexed as

gliomasIMPTlymphopeniapencil beam scanningproton therapy

Identifiers

PMID39045310
PMCPMC11263926

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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.