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Publication Name World Journal of Clinical Oncology
Manuscript ID 118731
Country China
Received
2026-01-12 03:26
Peer-Review Started
2026-01-12 03:35
First Decision by Editorial Office Director
2026-02-12 08:19
Return for Revision
2026-02-12 08:19
Revised
2026-02-21 05:07
Publication Fee Transferred
2026-03-31 06:03
Second Decision by Editor
2026-05-08 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-05-08 08:49
Articles in Press
2026-05-08 08:49
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-06-09 14:37
Publish the Manuscript Online
2026-06-22 08:40
ISSN 2218-4333 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Oncology
Manuscript Type Minireviews
Article Title Spatially fractionated radiotherapy: Integrated dose heterogeneity and radiobiology for bulky tumor
Manuscript Source Unsolicited Manuscript
All Author List Ling-Ling Meng, Lin Ma, Bao-Lin Qu and Yu-Peng Di
ORCID
Author(s) ORCID Number
Ling-Ling Meng http://orcid.org/0000-0003-4674-5297
Bao-Lin Qu http://orcid.org/0000-0002-8911-3460
Yu-Peng Di http://orcid.org/0000-0002-1635-8918
Funding Agency and Grant Number
Corresponding Author Yu-Peng Di, Department of Radiotherapy, Air Force Medical Center, Air Force Medical University, Beijing 100142, PR China, Fucheng Road28, Beijing 100142, China. diyupeng0723@126.com
Key Words Spatially fractionated radiotherapy; Dose heterogeneity; Normal tissue sparing; Bystander-abscopal effects; Bulky radioresistant tumors
Core Tip Spatially fractionated radiotherapy (SFRT) offers a novel solution to the clinical challenge of treating bulky tumors. By creating controlled dose heterogeneity (“peaks” and “valleys”), SFRT leverages the regenerative capacity of normal tissues to maximize sparing while potentially triggering systemic antitumor immunity via bystander and abscopal effects. This article critically examines the dual mechanistic pathways of SFRT-integrating physical dose modulation with biological signaling-and reviews emerging clinical evidence suggesting its potential to safely expand the therapeutic index for difficult-to-treat malignancies.
Publish Date 2026-06-22 08:40
Citation

Meng LL, Ma L, Qu BL, Di YP. Spatially fractionated radiotherapy: Integrated dose heterogeneity and radiobiology for bulky tumor. World J Clin Oncol 2026; 17(6): 118731

URL https://www.wjgnet.com/2218-4333/full/v17/i6/118731.htm
DOI https://doi.org/10.5306/wjco.118731
Full Article (PDF) WJCO-17-118731-with-cover.pdf
Manuscript File 118731_Auto_Edited_104648.docx
Answering Reviewers 118731-answering-reviewers.pdf
Audio Core Tip 118731-audio.m4a
Conflict-of-Interest Disclosure Form 118731-conflict-of-interest-statement.pdf
Copyright License Agreement 118731-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 118731-non-native-speakers.pdf
Peer-review Report 118731-peer-reviews.pdf
Scientific Misconduct Check 118731-scientific-misconduct-check.png
Scientific Editor Work List 118731-scientific-editor-work-list.pdf
CrossCheck Report 118731-crosscheck-report.pdf