Evidence map›Paper›PMID 41202091›Full record

ArticleACS applied materials & interfaces2025

FLASH Radiotherapy Enhances the Therapeutic Ratio in an Embryonic In Vivo Model of Pancreatic Carcinoma.

Noemi Giannini, Alessandra Gonnelli, Giovanni Gadducci, Paola Puccini, Andrea Cavalieri, Luigi Masturzo, Jake Harold Pensavalle, Mariagrazia Celentano, Fabio Di Martino, Federico Di Cocco and 9 more

Abstract read
In one paragraph

Article in ACS applied materials & interfaces, 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. 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

19 authors.

Noemi GianniniCenter for Nanotechnology Innovation@NEST-Istituto Italiano di Tecnologia, Piazza San Silvestro 12, 56127 Pisa, Italy.
Alessandra GonnelliCenter for Nanotechnology Innovation@NEST-Istituto Italiano di Tecnologia, Piazza San Silvestro 12, 56127 Pisa, Italy.
Giovanni GadducciCenter for Nanotechnology Innovation@NEST-Istituto Italiano di Tecnologia, Piazza San Silvestro 12, 56127 Pisa, Italy.
Paola PucciniCenter for Nanotechnology Innovation@NEST-Istituto Italiano di Tecnologia, Piazza San Silvestro 12, 56127 Pisa, Italy.
Andrea CavalieriCentro Pisano Multidisciplinare Sulla Ricerca e Implementazione Clinica Della Flash Radiotherapy (CPFR), University of Pisa, Pisa 56126, Italy.
Luigi MasturzoCentro Pisano Multidisciplinare Sulla Ricerca e Implementazione Clinica Della Flash Radiotherapy (CPFR), University of Pisa, Pisa 56126, Italy.
Jake Harold PensavalleCentro Pisano Multidisciplinare Sulla Ricerca e Implementazione Clinica Della Flash Radiotherapy (CPFR), University of Pisa, Pisa 56126, Italy.
Mariagrazia CelentanoCentro Pisano Multidisciplinare Sulla Ricerca e Implementazione Clinica Della Flash Radiotherapy (CPFR), University of Pisa, Pisa 56126, Italy.
Fabio Di MartinoCentro Pisano Multidisciplinare Sulla Ricerca e Implementazione Clinica Della Flash Radiotherapy (CPFR), University of Pisa, Pisa 56126, Italy.
Federico Di CoccoDivision of Pathology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa 56126, Italy.
Cristian ScatenaDivision of Pathology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa 56126, Italy.
Antonio Giuseppe NaccaratoDivision of Pathology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa 56126, Italy.
Michele MenicagliFondazione Pisana per la Scienza ONLUS, via Ferruccio Giovannini 13, S. Giuliano Terme, 56017 Pisa, Italy.
Patrizia SarogniCenter for Nanotechnology Innovation@NEST-Istituto Italiano di Tecnologia, Piazza San Silvestro 12, 56127 Pisa, Italy.
Valentina FruscaCenter for Nanotechnology Innovation@NEST-Istituto Italiano di Tecnologia, Piazza San Silvestro 12, 56127 Pisa, Italy.
Dania CioniUnit of Radiology, Pisa University Hospital "Azienda Ospedaliero-Universitaria Pisana", via Roma 67, Pisa 56126, Italy.
Giovanni Donato AquaroUnit of Radiology, Pisa University Hospital "Azienda Ospedaliero-Universitaria Pisana", via Roma 67, Pisa 56126, Italy.
Valerio VolianiCenter for Nanotechnology Innovation@NEST-Istituto Italiano di Tecnologia, Piazza San Silvestro 12, 56127 Pisa, Italy.ORCID 0000-0003-1311-3349
Fabiola PaiarRadiation Oncology Unit, Pisa University Hospital "Azienda Ospedaliero-Universitaria Pisana", Via Roma 67, Pisa 56126, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiotherapy (RT) is a commonly employed treatment in oncological setting. Unfortunately, the therapeutic dose required for tumor control often induces significant side effects in normal tissues, leading to suboptimal outcomes and reduced patient quality of life. FLASH radiotherapy (FLASH-RT) is distinguished by its exceptionally high dose rates, surpassing 40 Gy/s. This advancement has emerged as a promising innovation in the field of cancer treatment. Indeed, FLASH-RT may reduce normal tissue toxicity compared to conventional radiotherapy (CONV-RT) while maintaining tumor control. Here, FLASH-RT and CONV-RT have been compared in an alternative embryonic model of pancreatic carcinoma, a cancer type with poor prognosis and limited therapeutic options. The chorioallantoic membrane models (CAMs) have been employed to assess the tumor control and the treatment toxicity by analyzing the embryo survival. FLASH-RT exhibited significantly reduced off-target toxicity on the embryos, as evidenced by the embryonic growth analysis and histopathological analysis. The tumor control outcomes were comparable between FLASH-RT and CONV-RT, confirming the iso-efficacy between the two strategies. These findings confirm the paradigm-shifting potential of FLASH-RT to enhance the therapeutic ratio, particularly in anatomically complex and radioresistant tumors such as pancreatic carcinoma, warranting further investigation in clinical settings. Additionally, a solid embryonic

Indexed as

Pancreatic NeoplasmsAnimalsCell Line, TumorChick EmbryoChorioallantoic MembraneHumansalternative biomodelschorioallantoic membrane modelFLASHpancreatic carcinomaradiotherapy

Identifiers

PMID41202091
PMCPMC12635963

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.