Evidence map›Paper›PMID 41982689›Full record

ReviewTranslational lung cancer research2026

Integrated management of immunotherapy and radiotherapy for patients with metastatic non-small cell lung cancer: a narrative review of current landscape and future directions.

Xinquan Liang, Fengxue Li, Yingying Zhang, Pingping Hu, Tiantian Tian, Yan Zhang, Ning Liang, Guodong Deng, Fangjie Ding, Xin Liu and 2 more

Abstract readReview
In one paragraph

Review in Translational lung 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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.

Xinquan Liang *Clinical Medical College of Jining Medical University, Jining, China.
Fengxue Li *Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China.
Yingying ZhangDepartment of Oncology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Lung Cancer Institute, Jinan, China.
Pingping HuDepartment of Oncology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Lung Cancer Institute, Jinan, China.
Tiantian TianDepartment of Oncology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Lung Cancer Institute, Jinan, China.
Yan ZhangMedical Integration and Practice Center, Cheeloo College of Medicine, Shandong University, Jinan, China.
Ning LiangDepartment of Oncology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Lung Cancer Institute, Jinan, China.
Guodong DengDepartment of Oncology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Lung Cancer Institute, Jinan, China.
Fangjie DingShandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China.
Xin LiuShandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China.
Lili Qiao *Department of Oncology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Lung Cancer Institute, Jinan, China.
Jiandong Zhang *Department of Oncology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Lung Cancer Institute, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: Despite advancements in systemic therapy, metastatic non-small cell lung cancer (NSCLC) remains largely incurable. Immunotherapy, primarily immune checkpoint inhibitors (ICIs), has improved outcomes, but durable responses are confined to a subset of patients. Emerging preclinical and clinical evidence suggests that radiotherapy (RT) can potentiate antitumor immunity, transforming localized treatment into a systemic effect. This narrative review aims to synthesize current knowledge on the mechanisms and clinical applications of combining RT with immunotherapy for metastatic NSCLC, assessing its potential to improve survival. Methods: A systematic search of PubMed was conducted to identify English-language articles published between January 2010 and December 2025 on immunotherapy combined with RT for metastatic NSCLC. Key Content and Findings: This article comprehensively analyzes the synergistic mechanisms between RT and immunotherapy, including immunogenic cell death (ICD), enhanced antigen presentation, and modulation of the tumor microenvironment (TME). We critically review the clinical evidence for this combination across various disease settings: definitive treatment of the primary tumor, management of brain and adrenal metastases, and the novel strategy of multisite RT. Key considerations such as the optimal sequencing of therapies and the influence of RT dose/fractionation on efficacy and abscopal effects are discussed. Conclusions: The integration of RT with immunotherapy represents a promising therapeutic paradigm for metastatic NSCLC, demonstrating encouraging efficacy, particularly in managing thoracic disease and brain metastases. Preliminary data on targeting multiple metastatic sites are also compelling. However, critical questions regarding optimal patient selection, treatment sequencing, and ideal RT protocols remain areas of active investigation, necessitating further validation in randomized controlled trials.

Indexed as

immune checkpoint inhibitors (ICIs)Immunotherapynon-small cell lung cancer (NSCLC)radiotherapy (RT)

Identifiers

PMID41982689
PMCPMC13071787

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.