C.S.M. Gillies , P. Lim , C. Dunlea , B. Timmermann , C. Alapetite , S. Bolle , I.F. Kristensen , K. Seiersen , Y. Lassen-Ramshad
{"title":"Proton beam therapy in paediatric radiation oncology: Defining the limitations, uncertainties and optimisation of treatment plans","authors":"C.S.M. Gillies , P. Lim , C. Dunlea , B. Timmermann , C. Alapetite , S. Bolle , I.F. Kristensen , K. Seiersen , Y. Lassen-Ramshad","doi":"10.1016/j.ejcped.2025.100242","DOIUrl":"10.1016/j.ejcped.2025.100242","url":null,"abstract":"<div><div>Proton Beam Therapy (PBT) is an increasingly utilised modality for treating tumours by utilising the physical properties of accelerated proton beams. This review explores the development of PBT, its dosimetric advantages over conventional x-ray-based radiotherapy, and the rationale behind its use in paediatric oncology whilst simultaneously considering the various challenges associated with its delivery.</div><div>The challenges faced by PBT include its delivery methods, uncertainties in the precise depth of dose deposition known as “range”, and considerations of linear energy transfer. The review aims to highlight how these are of particular importance for a paediatric cohort and present methods of mitigation to best utilise this modality.</div><div>Despite clinical benefits, the limited availability of PBT centres poses challenges in communication, patient travel, and resource allocation. The authors discuss the importance of a multidisciplinary team, inter-hospital collaborations, and resource management strategies to address the logistical hurdles associated with PBT.</div><div>The review evaluates the application of PBT across different paediatric tumour sites, focusing on central nervous system tumours, extra-cranial tumours, and specific challenges associated with head and neck, thoracic, abdomen, pelvis, and spine tumours. Dosimetric benefits and challenges specific to each site are thoroughly examined.</div><div>Although PBT offers the potential to minimize organ-at-risk doses while maintaining tumour control, the authors underscore the importance of an experienced multidisciplinary team to address the medical, technical, and logistical challenges associated with PBT. As technical limitations are overcome, the scope for utilizing PBT in paediatric oncology is expected to expand, contributing to improved outcomes for patients globally.</div></div>","PeriodicalId":94314,"journal":{"name":"EJC paediatric oncology","volume":"5 ","pages":"Article 100242"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rubén E. Lasso-Palomino , Diego Medina , Alexis Antonio Franco , María José Soto-Aparicio , Eliana Manzi Tarapues , Diana Marcela Muñoz , Edgar Salazar , Jhon López , Angela Devia , Sofía Martínez-Betancourt , Jimena Sierra , Anita V. Arias , Inés Elvira Gómez
{"title":"Outcomes within 100 days of hematopoietic cell transplantation in pediatric patients: Insights from an intensive care unit in Colombia","authors":"Rubén E. Lasso-Palomino , Diego Medina , Alexis Antonio Franco , María José Soto-Aparicio , Eliana Manzi Tarapues , Diana Marcela Muñoz , Edgar Salazar , Jhon López , Angela Devia , Sofía Martínez-Betancourt , Jimena Sierra , Anita V. Arias , Inés Elvira Gómez","doi":"10.1016/j.ejcped.2025.100247","DOIUrl":"10.1016/j.ejcped.2025.100247","url":null,"abstract":"","PeriodicalId":94314,"journal":{"name":"EJC paediatric oncology","volume":"5 ","pages":"Article 100247"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144756690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Childhood cancer outcomes in a Ghanaian Paediatric Intensive Care Unit: A three-year perspective","authors":"Claudia Adja-Sai, Susan Zakariah, Alice Ackah","doi":"10.1016/j.ejcped.2025.100253","DOIUrl":"10.1016/j.ejcped.2025.100253","url":null,"abstract":"","PeriodicalId":94314,"journal":{"name":"EJC paediatric oncology","volume":"5 ","pages":"Article 100253"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144756877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pavitra Viswanathan, Vasudha N Rao, Rakshay Shetty, Deepak Ramesh, Manu Choudhary, Chandrika Bhat
{"title":"Navigating the complexities of induction therapy: A pediatric leukemia case with severe multisystem complications","authors":"Pavitra Viswanathan, Vasudha N Rao, Rakshay Shetty, Deepak Ramesh, Manu Choudhary, Chandrika Bhat","doi":"10.1016/j.ejcped.2025.100298","DOIUrl":"10.1016/j.ejcped.2025.100298","url":null,"abstract":"","PeriodicalId":94314,"journal":{"name":"EJC paediatric oncology","volume":"5 ","pages":"Article 100298"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144756955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andreia Ribeiro Pereira Aguiar de Paula , Fernanda Paula Endo Marques , Angela Maria Puerto Torres , Alejandra Méndez-Aceituno , Asya Agulnik
{"title":"Outcomes in febrile neutropenia episodes in Barretos Children’s Cancer Pediatric Intensive Care Unit after PEWS","authors":"Andreia Ribeiro Pereira Aguiar de Paula , Fernanda Paula Endo Marques , Angela Maria Puerto Torres , Alejandra Méndez-Aceituno , Asya Agulnik","doi":"10.1016/j.ejcped.2025.100267","DOIUrl":"10.1016/j.ejcped.2025.100267","url":null,"abstract":"","PeriodicalId":94314,"journal":{"name":"EJC paediatric oncology","volume":"5 ","pages":"Article 100267"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marta Díaz Miguel, Cristina Parra Cotanda, Maria Cussó Bordes, Alicia Suñé Aznárez, David Nadal Miquel, Anna Faura Morros
{"title":"Impact of a paediatric oncology patient experience improvement programme in the emergency department","authors":"Marta Díaz Miguel, Cristina Parra Cotanda, Maria Cussó Bordes, Alicia Suñé Aznárez, David Nadal Miquel, Anna Faura Morros","doi":"10.1016/j.ejcped.2025.100268","DOIUrl":"10.1016/j.ejcped.2025.100268","url":null,"abstract":"","PeriodicalId":94314,"journal":{"name":"EJC paediatric oncology","volume":"5 ","pages":"Article 100268"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}