ArticlePhysics and imaging in radiation oncology2026
Proton Bragg peak flash stereotactic radiosurgery for recurrent glioblastoma reirradiation.
Article in Physics and imaging in radiation oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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16 authors.
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Abstract
Background and Purpose: Stereotactic Radiosurgery with robotic image-guided systems is promising for recurrent glioblastoma (rGBM), but long delivery times may increase morbidity and reduce accuracy. Proton single-energy Bragg-peak FLASH-RT (SEBP-FLASH) may address these limits by delivering each field in <1 s, with potential for normal-tissue sparing through the FLASH effect. Materials and Methods: The SEBP-FLASH technique was used to reoptimize treatment for rGBM patients treated with robotic image-guided systems. Patient-specific aperture devices were incorporated into the SEBP-FLASH technique for sharper penumbra. The gross tumor volume (GTV) coverage, conformity index (CI), dose gradient index (GI Results: SEBP-FLASH successfully met all clinical objectives. Both SEBP-FLASH and robotic techniques showed comparable performance, with GI Conclusions: This study evaluated the dose-volume characteristics of SEBP-FLASH and robotic image-guided systems and found broadly comparable dose distributions, suggesting that SEBP-FLASH may be a feasible option for rGBM reirradiation. SEBP-FLASH also showed potential advantages in conformity, normal tissue sparing, and reduced on-table time.
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