Evidence map›Paper›PMID 41121545›Full record

ArticleActa oncologica (Stockholm, Sweden)2025

Determining the effects of hyperthermia on the tumor and acute normal tissue response of FLASH radiation.

Priyanshu Manojkumar Sinha, Line Kristensen, Charlemagne Asonganyi Folefac, Lars Hjorth Præstegaard, Lone Hoffmann, Per Rugaard Poulsen, Michael Robert Horsman, Brita Singers Sørensen

Abstract read
In one paragraph

Article in Acta oncologica (Stockholm, Sweden), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Priyanshu Manojkumar SinhaExperimental Clinical Oncology - Department of Oncology, Aarhus University Hospital, Aarhus, Denmark. prianshusinha@hotmail.com.ORCID 0000-0001-6115-1556
Line KristensenExperimental Clinical Oncology - Department of Oncology, Aarhus University Hospital, Aarhus, Denmark; Danish Centre for Particle Therapy, Aarhus University Hospital, Aarhus, Denmark; Department of Oncology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0003-0924-475X
Charlemagne Asonganyi FolefacExperimental Clinical Oncology - Department of Oncology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0009-0002-4001-7547
Lars Hjorth PræstegaardDepartment of Oncology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0009-0008-0649-8547
Lone HoffmannDepartment of Oncology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-3575-0421
Per Rugaard PoulsenDanish Centre for Particle Therapy, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-9940-7609
Michael Robert HorsmanExperimental Clinical Oncology - Department of Oncology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0003-1578-5691
Brita Singers SørensenExperimental Clinical Oncology - Department of Oncology, Aarhus University Hospital, Aarhus, Denmark; Danish Centre for Particle Therapy, Aarhus University Hospital, Aarhus, Denmark; Department of Oncology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-3955-4735

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is limited indication of how hyperthermia would influence the unique proposition of FLASH radiation - its ability to maintain comparable tumor response while offering protection to normal tissues. Hence, this study was designed to investigate the potential of combining FLASH radiation with hyperthermia. MATERIALS AND

methodsExperiments were performed using female CDF1 mice, where the tumor bearing or non-tumor bearing right hind legs were irradiated with either conventional dose rate (CONV) or FLASH radiation ± hyperthermia. Hyperthermia was applied 30 minutes after radiation at 42.5°C for 60 minutes. The tumor endpoint was growth delay to three times its initial treatment volume (TGT3) and the normal tissue endpoint was an acute skin toxicity of score 2.5 and above, characterized by moderate moist desquamation and partial leg deformity.

resultsIn tumor studies, the thermal enhancement ratio (TER) was 1.68 for FLASH radiotherapy and 1.50 for conventional (CONV) radiation. In acute skin toxicity studies, the TER was slightly lower, at 1.37 for FLASH and 1.29 for CONV. The dose modifying factor (DMF) in tumor studies was 1.12 but decreased to 1.00 when hyperthermia was added. Similarly, in acute skin toxicity studies, the DMF was initially 1.53 and dropped to 1.45 with the addition of hyperthermia.

interpretationHyperthermia significantly sensitized both the CONV and FLASH radiation, but the enhancement is comparable between the two different dose rate radiations in both tumors and normal tissues.

Indexed as

Hyperthermia, InducedRadiotherapyAnimalsCombined Modality TherapyFemaleMiceSkin

Identifiers

PMID41121545
PMCPMC12556746

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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.