Evidence map›Paper›PMID 41164421›Full record

ArticlePrecision radiation oncology2025

A safety study of ultra-high dose rate FLASH radiotherapy in the treatment of superficial skin tumors: study protocol of a phase I trial (ChiCTR2400080935).

Chengliang Yang, Hui Luo, Ma Leijie, Ronghu Mao, Hongchang Lei, Yanping Zhang, Meng Xu, Yiwu Wang, Mingxia Wu, Han Liu and 2 more

Abstract read
In one paragraph

Article in Precision radiation oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Microenvironmental remodeling in FLASH radiotherapy.Frontiers in cell and developmental biology · 2026
    Review
  5. Review
  6. Review
  7. Article
  8. 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

12 authors.

Chengliang YangDepartment of Radiation Oncology The Affiliated Cancer Hospital of Zhengzhou University& Henan Cancer Hospital Zhengzhou China.
Hui LuoDepartment of Radiation Oncology The Affiliated Cancer Hospital of Zhengzhou University& Henan Cancer Hospital Zhengzhou China.ORCID https://orcid.org/0000-0003-2149-6546
Ma LeijieDepartment of Radiation Oncology The Affiliated Cancer Hospital of Zhengzhou University& Henan Cancer Hospital Zhengzhou China.
Ronghu MaoDepartment of Radiation Oncology The Affiliated Cancer Hospital of Zhengzhou University& Henan Cancer Hospital Zhengzhou China.
Hongchang LeiDepartment of Radiation Oncology The Affiliated Cancer Hospital of Zhengzhou University& Henan Cancer Hospital Zhengzhou China.
Yanping ZhangDepartment of Radiation Oncology The Affiliated Cancer Hospital of Zhengzhou University& Henan Cancer Hospital Zhengzhou China.
Meng XuDepartment of Radiation Oncology The Affiliated Cancer Hospital of Zhengzhou University& Henan Cancer Hospital Zhengzhou China.
Yiwu WangDepartment of Radiation Oncology The Affiliated Cancer Hospital of Zhengzhou University& Henan Cancer Hospital Zhengzhou China.
Mingxia WuDepartment of Radiation Oncology The Affiliated Cancer Hospital of Zhengzhou University& Henan Cancer Hospital Zhengzhou China.
Han LiuDepartment of Radiation Oncology The Affiliated Cancer Hospital of Zhengzhou University& Henan Cancer Hospital Zhengzhou China.
Peng ChenDepartment of Radiation Oncology The Affiliated Cancer Hospital of Zhengzhou University& Henan Cancer Hospital Zhengzhou China.
Hong GeDepartment of Radiation Oncology The Affiliated Cancer Hospital of Zhengzhou University& Henan Cancer Hospital Zhengzhou China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Ultra-high dose rate FLASH radiotherapy (FLASH-RT) is emerging as a novel technique to improve the normal tissue tolerance by delivering ultra-high dose rate radiation several orders of magnitude higher than convention radiotherapy. It has been shown in preclinical studies to cause less injury to surrounding normal tissues during radiation treatment, while still maintaining local tumor control. The purpose of this protocol is to evaluate the safety of fractionated FLASH-RT in skin cancer. Method: Patients with superficial skin tumors will be enrolled. The eligible patients will undergo electron FLASH-RT (24-40 Gy/3-5 fractions) to the tumor volume. The primary outcome is to evaluate the safety of FLASH-RT by collecting the acute (< 90 days) skin toxicity adverse events of radiation according to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. Secondary objectives include late (> 90 days) skin toxicity after FLASH-RT according to CTCAE version 5.0 and treatment response. Discussion: If the results show that delivering FLASH-RT is safe and feasible for skin tumors, further investigation will be conduct to evaluate efficacy of FLASH-RT in a phase II trial. Trial Registration number: ChiCTR2400080935. https://www.chictr.org.cn/showproj.html?proj=220336.

Indexed as

Radiation‐associated adverse eventsSafetySuperficial skin cancerultra‐high dose rate FLASH radiotherapy

Identifiers

PMID41164421
PMCPMC12559900

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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.