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REVIEW article

Front. Oncol.

Sec. Radiation Oncology

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1669228

Influence Factor and Mechanism of FLASH Effect

Provisionally accepted
Tingyu  FengTingyu Feng1Tianyang  HeTianyang He1Wentao  YeWentao Ye1Lisha  XiangLisha Xiang1,2*
  • 1Sichuan University, Chengdu, China
  • 2West China Hospital of Sichuan University, Chengdu, China

The final, formatted version of the article will be published soon.

FLASH radiotherapy (FLASH-RT) represents an innovative treatment modality utilizing ultra-high dose-rate irradiation (>40 Gy/s). The FLASH effect, induced by FLASH-RT, is characterized by the selective radioprotective effect of normal tissue while preserving tumor control efficacy. Currently, FLASH effect has been confirmed in many preclinical studies and clinical studies. However, the mechanism and the influencing factors of FLASH effect remain ambiguous. This review systematically summarizes current understanding of the mechanism and influencing factors of FLASH effect, providing theoretical basis for the future study and application of FLASH-RT.

Keywords: ultra-high dose-rate1, FLASH radiotherapy2, Mechanism3, Influencing factor4, FLASH effect5

Received: 19 Jul 2025; Accepted: 26 Aug 2025.

Copyright: © 2025 Feng, He, Ye and Xiang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Lisha Xiang, Sichuan University, Chengdu, China

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