Evidence map›Paper›PMID 42583049›Full record

ReviewESMO gastrointestinal oncology2026

Innovative radiotherapy approaches.

G Chiloiro, P Franco, M P Nilsson, A Romano, E Serup-Hansen, B Fionda, S Manfrida, C Kronborg, M A Gambacorta

Abstract readReview
In one paragraph

Review in ESMO gastrointestinal oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

9 authors.

G ChiloiroDepartment of Radiology and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
P FrancoDepartment of Radiation Oncology, "Maggiore della Carità" University Hospital, Novara, Italy.
M P NilssonDivision of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
A RomanoDepartment of Radiology and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
E Serup-HansenDepartment of Oncology, Copenhagen University Hospital-Herlev and Gentofte, Herlev, Denmark.
B FiondaDepartment of Radiology and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
S ManfridaDepartment of Radiology and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
C KronborgDanish Centre for Particle Therapy, Aarhus University Hospital, Aarhus, Denmark.
M A GambacortaDepartment of Radiology and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiotherapy (RT) with concurrent chemotherapy is the standard of care for squamous-cell carcinoma of the anal canal (SCCAC), achieving favorable results in terms of local control and overall survival. However, locoregional failure remains common despite advances such as intensity-modulated radiotherapy (IMRT), which reduces toxicity but has limitations. Despite the benefits of IMRT, frequent and severe toxicities persist, affecting patients' quality of life. This review examines strategies to improve RT outcomes in anal cancer. These include risk-adapted target delineation, daily target volume adjustment, brachytherapy, magnetic resonance-guided linear accelerator for radiation therapy (MRI-Linac), and proton therapy. Risk-adapted delineation proposes personalized treatment volumes based on individual risk factors, potentially improving efficacy and safety. With image-guided implantation and intensity-modulated dose delivery, interventional RT (brachytherapy), including modern brachytherapy, offers advantages in dose escalation while minimizing toxicity. Proton therapy, which delivers energy at specific depths, shows promise in reducing toxicity, although further prospective studies are needed. Advanced RT delivery modalities, such as online adaptive RT and MRI-Linac, offer opportunities to improve treatment outcomes by accounting for daily anatomical variations and allowing personalized dose adjustments. The aim of the integration of these technologies is to achieve optimal therapeutic ratios, minimize toxicities, and improve patient outcomes in the treatment of anal cancer. To address the remaining challenges and optimize RT approaches for SCCAC, ongoing trials are investigating dose-volume stratification, adaptive treatment, and proton therapy.

Indexed as

adaptive treatmentinterventional radiotherapypersonalized treatment approachradiotherapyrisk-adapted target definitionsquamous cell carcinoma of the anal canal

Identifiers

PMID42583049
PMCPMC13459597

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.