Evidence map›Paper›PMID 41164815›Full record

ReviewPrecision radiation oncology2025

Clinical advances and challenges in dose constraints for organs at risk in proton therapy: A systematic review of the last decade's literature.

Jinghao Duan, Cheng Tao, Shizhang Wu, Chengqiang Li, Jinhu Chen, Tianyuan Dai, Yunyi Fan, Tong Bai, Xiangjuan Meng, Tian Kong and 1 more

Abstract readReview
In one paragraph

Review 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 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

11 authors.

Jinghao DuanDepartment of Radiation Physics and Technology Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences Jinan China.ORCID https://orcid.org/0000-0001-6420-6743
Cheng TaoDepartment of Radiation Physics and Technology Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences Jinan China.
Shizhang WuDepartment of Radiation Physics and Technology Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences Jinan China.
Chengqiang LiDepartment of Radiation Physics and Technology Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences Jinan China.
Jinhu ChenDepartment of Radiation Physics and Technology Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences Jinan China.
Tianyuan DaiDepartment of Radiation Physics and Technology Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences Jinan China.
Yunyi FanDepartment of Radiation Physics and Technology Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences Jinan China.
Tong BaiDepartment of Radiation Physics and Technology Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences Jinan China.
Xiangjuan MengDepartment of Clinical Lab Shandong Cancer Hospital and Institute Shandong First Medical University and Shandong Academy of Medical Sciences Jinan China.
Tian KongDisease Control and Prevention Institute of China Railway Jinan Bureau Group Co., Ltd Jinan China.
Jian ZhuDepartment of Radiation Physics and Technology Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences Jinan China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Proton beam therapy has demonstrated significant clinical efficacy across multiple malignancies, primarily attributed to its distinct physical dose deposition characteristics. However, clinical implementation remains constrained by resource limitations and accumulated experience, particularly regarding radiation tolerance thresholds for organs at risk (OARs). Unlike photon-based radiotherapy where consensus guidelines like QUANTEC have been established, standardized dose constraints for proton therapy require further validation. This systematic review synthesizes decade-long evidence from peer-reviewed literature and clinical guidelines, critically evaluating current understanding of OARs tolerance in proton therapy. The comprehensive analysis aims to inform clinical decision-making and protocol development for emerging proton therapy.

Indexed as

dose constraintsorgans at riskproton radiation therapyradiotherapy

Identifiers

PMID41164815
PMCPMC12559902

What OpenQuestion holds

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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.