Evidence map›Paper›PMID 40416512›Full record

ArticleAdvances in radiation oncology2025

FLASH Stereotactic Body Radiation Therapy for Spine Tumors Using a Single-Energy Proton Pristine Bragg Peak Delivery Technique.

Balaji Selvaraj, Xingyi Zhao, Haibo Lin, Jiajian Shen, Chingyun Cheng, Alex Bookbinder, Hui Wu, Huifang Zhai, J Isabelle Choi, Arpit M Chhabra and 4 more

Abstract read
In one paragraph

Article in Advances in radiation oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

14 authors.

Balaji SelvarajNew York Proton Center, New York, New York.
Xingyi ZhaoNew York Proton Center, New York, New York.
Haibo LinNew York Proton Center, New York, New York.
Jiajian ShenDepartment of Radiation Oncology, Mayo Clinic, Phoenix, Arizona.
Chingyun ChengDepartment of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Alex BookbinderNew York Proton Center, New York, New York.
Hui WuDepartment of Radiation Oncology, the Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Huifang ZhaiNew York Proton Center, New York, New York.
J Isabelle ChoiNew York Proton Center, New York, New York.
Arpit M ChhabraNew York Proton Center, New York, New York.
Shaakir HasanNew York Proton Center, New York, New York.
Charles B SimoneNew York Proton Center, New York, New York.
Yoshiya YamadaDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Minglei KangNew York Proton Center, New York, New York.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Purpose: To investigate the dosimetric performance and dose rate of Bragg peak FLASH (BP-FLASH) for spinal cord stereotactic body radiation therapy (SBRT). Methods and Materials: Ten consecutive patients with spinal tumors treated with conventional intensity modulated proton therapy (CONV-IMPT) SBRT (40 Gy in 5 fractions) were selected for this study. These patients were reoptimized using an in-house FLASH algorithm and a single-energy Bragg peak approach. The dose distributions and dose metrics for target coverage and critical organs-at-risk (OARs) were compared. BP-FLASH plans dose rates were calculated using an average-dose-rate. The FLASH ratios (V Results: Dosimetric analysis revealed that the BP-FLASH plans deliver a similar dose as CONV-IMPT plans to critical OARs. However, in BP-FLASH, the clinical target volume received a higher maximum dose than CONV-IMPT (115.1% versus 108.9%, Conclusions: BP-FLASH SBRT is a promising treatment for challenging spinal cord cancers, which achieved ultra-high-dose rates for FLASH effect and maintained the same dosimetry quality as the CONV-IMPT plans.

Identifiers

PMID40416512
PMCPMC12098142

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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.