Evidence map›Paper›PMID 41674939›Full record

ReviewTranslational cancer research2026

Modern radiotherapy in inoperable locally advanced non-small cell lung cancer: a review of techniques, dose fractionation, and immuno-synergistic strategies.

Xiaoyin Zhang, Liping Deng, Yunxue Zheng, Wen Yang, Min Wu, Yuan Huang, Yingqi Gu, Jingbo Wu

Abstract readReview
In one paragraph

Review in Translational cancer research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Xiaoyin Zhang *Department of Oncology, The Affiliated Hospital, Southwest Medical University, Luzhou, China.ORCID https://orcid.org/0009-0009-4639-8353
Liping Deng *Department of Oncology, The Affiliated Hospital, Southwest Medical University, Luzhou, China.
Yunxue ZhengDepartment of Oncology, The Affiliated Hospital, Southwest Medical University, Luzhou, China.
Wen YangDepartment of Oncology, The Affiliated Hospital, Southwest Medical University, Luzhou, China.
Min WuDepartment of Oncology, The Affiliated Hospital, Southwest Medical University, Luzhou, China.
Yuan HuangDepartment of Oncology, The Affiliated Hospital, Southwest Medical University, Luzhou, China.
Yingqi GuDepartment of Oncology, The Affiliated Hospital, Southwest Medical University, Luzhou, China.
Jingbo WuDepartment of Oncology, The Affiliated Hospital, Southwest Medical University, Luzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For patients with inoperable locally advanced non-small cell lung cancer (LA-NSCLC), concurrent chemoradiotherapy followed by durvalumab consolidation is the current standard of care. However, local recurrence remains a predominant therapeutic obstacle. This review therefore aims to synthesize recent advancements in radiotherapy techniques, dose optimization, and immunotherapy integration to provide references for clinical practice and future research. This review synthesizes current literature to evaluate advancements in radiotherapy techniques, dose fractionation strategies, and their integration with immunotherapy. Intensity-modulated radiotherapy (IMRT) has become the standard technique, with long-term follow-up data confirming its survival benefits and safety. Advanced techniques including stereotactic body radiotherapy (SBRT) and particle therapy show potential for dose escalation but are limited by toxicity and a lack of high-level evidence. High-dose-rate brachytherapy (HDR-BT) demonstrates favorable local control with low toxicity and cost-effectiveness, though broader application awaits further validation. Regarding dose strategies, conventional dose escalation failed to improve survival, while hypofractionated radiotherapy shows promise in balancing efficacy and toxicity. The synergy with immunotherapy represents a new paradigm, with clinical trials actively exploring optimal combinations and leveraging radiotherapy's immunomodulatory potential. This review summarizes the current landscape and advancements in radiotherapy for LA-NSCLC. Future treatment strategies should develop personalized approaches based on multidisciplinary collaboration, utilizing precision radiotherapy to safely enhance treatment intensity, applying novel biomarkers to guide clinical decision-making, and optimizing combination strategies with immunotherapy.

Indexed as

immunotherapyLung cancerradiation technologyradiotherapy

Identifiers

PMID41674939
PMCPMC12885884

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.