Evidence map›Paper›PMID 41890242›Full record

ReviewNeuro-oncology pediatrics2026

The potential and risks of FLASH radiotherapy in pediatric patients.

Jan Schuemann, Bethany Rothwell, Anthony Mascia, Yi Fan, Billy W Loo, Torunn Yock, Kevin X Liu, John Perentesis, Daphne A Haas-Kogan

Abstract readReview
In one paragraph

Review in Neuro-oncology pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Bethany RothwellDepartment of Radiation Oncology, Massachusetts General Brigham, Boston, MA, United States.ORCID https://orcid.org/0000-0002-3323-671X
Anthony MasciaDivision of Oncology, Cancer and Blood Disease Institute, Cincinnati Children's Hospital, Cincinnati, OH, United States.ORCID https://orcid.org/0000-0002-4819-3062
Yi FanDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, United States.
Billy W LooDepartment of Radiation Oncology & Stanford Cancer Institute, Stanford University School of Medicine, Stanford, CA, United States.ORCID https://orcid.org/0000-0002-2521-0544
Torunn YockDepartment of Radiation Oncology, Massachusetts General Brigham, Boston, MA, United States.ORCID https://orcid.org/0000-0001-6408-8011
Kevin X LiuDepartment of Radiation Oncology, Massachusetts General Brigham, Boston, MA, United States.
John PerentesisDivision of Oncology, Cancer and Blood Disease Institute, Cincinnati Children's Hospital, Cincinnati, OH, United States.ORCID https://orcid.org/0000-0002-4237-8226
Daphne A Haas-KoganDepartment of Radiation Oncology, Massachusetts General Brigham, Boston, MA, United States.ORCID https://orcid.org/0000-0002-2378-4800

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Irradiation at ultra-high dose rates, also termed as 'FLASH' radiotherapy, has generated great interest in radiation oncology due to its potential to preferentially spare healthy tissue without compromising tumor control. Over the past decade, studies on the potential benefits of FLASH radiotherapy (FLASH-RT) have grown rapidly, yet the underlying mechanisms of this differential effect remain poorly understood. Nonetheless, compelling preclinical data, particularly the preservation of cognitive function after whole-brain irradiation, suggest that FLASH-RT may significantly improve quality of life, especially for pediatric patients. Early preclinical (large animal) and adult clinical trials are underway, prompting consideration of how and when to translate this modality to pediatric populations. This review summarizes the current state of FLASH-RT, with a special focus on pediatric CNS applications. We discuss disease-specific opportunities and limitations, how biological and clinical differences between adults and children may influence the FLASH effect, and key factors that must be evaluated before safe and effective pediatric translation.

Indexed as

clinical translationFLASHpediatricsultra-high dose rate

Identifiers

PMID41890242
PMCPMC13016702

What OpenQuestion holds

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LicenceCC BY
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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.