Evidence map›Paper›PMID 41154449›Full record

ArticleCancers2025

Carbon Ion Radiotherapy for Retroperitoneal Sarcoma: A Single-Institution Study.

Reiko Imai, Tsukasa Yonemoto, Nobuhito Araki, Hirotoshi Takiyama, Hiroaki Ikawa, Shigeru Yamada, Hitoshi Ishikawa

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

7 authors.

Reiko ImaiQST Hospital, National Institute of Quantum Science and Technology,4-9-1, Anagawa, Inage, Chiba Shi 263-8555, Chiba, Japan.ORCID 0000-0002-4535-3673
Tsukasa YonemotoDivision of Orthopedic Surgery, Chiba Cancer Center, Chiba Shi 260-8717, Chiba, Japan.
Nobuhito ArakiDepartment of Orthopedic Surgery, Ashiya Municipal Hospital, Ashiya Shi 659-8502, Hyogo, Japan.
Hirotoshi TakiyamaQST Hospital, National Institute of Quantum Science and Technology,4-9-1, Anagawa, Inage, Chiba Shi 263-8555, Chiba, Japan.ORCID 0000-0001-9994-4666
Hiroaki IkawaQST Hospital, National Institute of Quantum Science and Technology,4-9-1, Anagawa, Inage, Chiba Shi 263-8555, Chiba, Japan.ORCID 0000-0002-1081-1136
Shigeru YamadaQST Hospital, National Institute of Quantum Science and Technology,4-9-1, Anagawa, Inage, Chiba Shi 263-8555, Chiba, Japan.ORCID 0000-0002-4271-0209
Hitoshi IshikawaQST Hospital, National Institute of Quantum Science and Technology,4-9-1, Anagawa, Inage, Chiba Shi 263-8555, Chiba, Japan.ORCID 0000-0002-0046-9787

Funding

JSPS KAKENHI JP24K10925
6 · The paper itself

Abstract

BACKGROUND/

objectivesSurgery remains the mainstay of treatment for retroperitoneal sarcoma (RPS); however, definitive therapeutic strategies for patients with insufficient surgical margins and unresectable disease owing to locally advanced RPS remain unclear. Carbon ion radiotherapy (CIRT) has been employed in patients with unresectable RPS. This study aimed to evaluate the effectiveness of CIRT in this patient population.

methodsA retrospective analysis was conducted in 76 patients with unresectable RPS treated with CIRT. Of these, 95% had a confirmed prognosis until 2022. In 74 patients, the prescribed relative biological effectiveness dose was 70.4 Gy, delivered in 16 fractions over 4 weeks. Respiratory gating was used, and spot scanning irradiation has been performed in all patients since 2016.

resultsThe 3- and 5-year overall survival rates for the entire cohort were 68.3% and 49.4%, respectively, with a median overall survival time of 58.1 months. The 3- and 5-year local control rates were 79.0% and 72.0%, respectively. Among 47 naïve patients with treatment-naïve tumors, the 3- and 5-year abdominal recurrence-free survival rates were 51.1% and 29.1%, respectively. Late adverse events of grade 3 or higher occurred in 4 (5.2%) patients.

conclusionsCIRT represents a definitive treatment option for patients with unresectable RPS. In the future, multicenter studies should be conducted to evaluate the effectiveness of CIRT for RPS in larger patient cohorts.

Indexed as

carbon ion radiotherapycharged particle therapyradiation therapyretroperitoneal sarcomasoft tissue sarcoma

Identifiers

PMID41154449
PMCPMC12564832

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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.