{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:55:39Z","timestamp":1786121739225,"version":"build-2736575974"},"reference-count":60,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP26K19013"],"award-info":[{"award-number":["JP26K19013"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100023797","name":"icotec ag","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100023797","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["advancesradonc.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Advances in Radiation Oncology"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.adro.2026.102136","type":"journal-article","created":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T15:27:36Z","timestamp":1783178856000},"page":"102136","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Titanium and Carbon Fiber-Reinforced Polyetheretherketone Spinal Implants in Postoperative Spine Stereotactic Body Radiation Therapy: A Comprehensive Review of Current Evidence and Future Perspectives"],"prefix":"10.1016","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6347-097X","authenticated-orcid":false,"given":"Yuhi","family":"Suda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujiro","family":"Nakajima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Ito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shota","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kentaro","family":"Taguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Kito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.adro.2026.102136_bib0001","doi-asserted-by":"crossref","first-page":"e720","DOI":"10.1016\/S1470-2045(17)30612-5","article-title":"An integrated multidisciplinary algorithm for the management of spinal metastases: An International Spine Oncology Consortium report","volume":"18","author":"Spratt","year":"2017","journal-title":"Lancet Oncol"},{"key":"10.1016\/j.adro.2026.102136_bib0002","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/S1470-2045(05)70022-X","article-title":"Malignant spinal-cord compression","volume":"6","author":"Prasad","year":"2005","journal-title":"Lancet Oncol"},{"key":"10.1016\/j.adro.2026.102136_bib0003","first-page":"i54","article-title":"Metastatic spine oncology: Symptom-directed management","volume":"7","author":"Ruppert","year":"2020","journal-title":"Neurooncol Pract"},{"key":"10.1016\/j.adro.2026.102136_bib0004","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1016\/S0140-6736(05)66954-1","article-title":"Direct decompressive surgical resection in the treatment of spinal cord compression caused by metastatic cancer: A randomised trial","volume":"366","author":"Patchell","year":"2005","journal-title":"Lancet"},{"key":"10.1016\/j.adro.2026.102136_bib0005","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbo.2020.100320","article-title":"Separation surgery for metastatic epidural spinal cord compression: A qualitative review","volume":"25","author":"Di Perna","year":"2020","journal-title":"J Bone Oncol"},{"key":"10.1016\/j.adro.2026.102136_bib0006","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.wneu.2021.01.059","article-title":"Can polyether ether ketone dethrone titanium as the choice implant material for metastatic spine tumor surgery?","volume":"148","author":"Kumar","year":"2021","journal-title":"World Neurosurg"},{"key":"10.1016\/j.adro.2026.102136_bib0007","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1634\/theoncologist.2012-0293","article-title":"The NOMS framework: Approach to the treatment of spinal metastatic tumors","volume":"18","author":"Laufer","year":"2013","journal-title":"Oncologist"},{"key":"10.1016\/j.adro.2026.102136_bib0008","doi-asserted-by":"crossref","first-page":"1414","DOI":"10.1016\/j.ijrobp.2016.03.027","article-title":"Postoperative stereotactic body radiation therapy (SBRT) for spine metastases: A critical review to guide practice","volume":"95","author":"Redmond","year":"2016","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.adro.2026.102136_bib0009","doi-asserted-by":"crossref","first-page":"30","DOI":"10.4103\/2152-7806.200581","article-title":"Stereotactic spine radiosurgery: Review of safety and efficacy with respect to dose and fractionation","volume":"8","author":"Huo","year":"2017","journal-title":"Surg Neurol Int"},{"key":"10.1016\/j.adro.2026.102136_bib0010","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s11060-022-04037-0","article-title":"Radiation myelopathy following stereotactic body radiation therapy for spine metastases","volume":"159","author":"Ong","year":"2022","journal-title":"J Neurooncol"},{"key":"10.1016\/j.adro.2026.102136_bib0011","doi-asserted-by":"crossref","first-page":"101","DOI":"10.14245\/ns.1938296.148","article-title":"Biomaterials in spinal implants: A review","volume":"17","author":"Warburton","year":"2020","journal-title":"Neurospine"},{"key":"10.1016\/j.adro.2026.102136_bib0012","doi-asserted-by":"crossref","first-page":"534","DOI":"10.3171\/2023.5.SPINE23106","article-title":"Carbon fiber-reinforced PEEK spinal implants for primary and metastatic spine tumors: A systematic review on implant complications and radiotherapy benefits","volume":"39","author":"Khan","year":"2023","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.adro.2026.102136_bib0013","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1007\/s11060-026-05438-1","article-title":"Carbon fiber-PEEK pedicle screw instrumentation in spinal oncology: A retrospective case series, systematic review of the literature, and cost-effectiveness analysis","volume":"176","author":"Davidar","year":"2026","journal-title":"J Neurooncol"},{"key":"10.1016\/j.adro.2026.102136_bib0014","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s41073-019-0064-8","article-title":"SANRA-a scale for the quality assessment of narrative review articles","volume":"4","author":"Baethge","year":"2019","journal-title":"Res Integr Peer Rev"},{"key":"10.1016\/j.adro.2026.102136_bib0015","doi-asserted-by":"crossref","DOI":"10.1088\/1361-6560\/ab8ba0","article-title":"Assessing the advantages of CFR-PEEK over titanium spinal stabilization implants in proton therapy-a phantom study","volume":"65","author":"Poel","year":"2020","journal-title":"Phys Med Biol"},{"key":"10.1016\/j.adro.2026.102136_bib0016","doi-asserted-by":"crossref","first-page":"603","DOI":"10.14444\/8685","article-title":"Nonmetallic carbon fiber-reinforced polyetheretherketone implants vs titanium implants: Analysis of clinical outcomes and influence on postoperative radiotherapy planning in metastatic spine tumor surgery","volume":"18","author":"Kumar","year":"2024","journal-title":"Int J Spine Surg"},{"key":"10.1016\/j.adro.2026.102136_bib0017","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.wneu.2017.04.091","article-title":"Radiolucent carbon fiber-reinforced pedicle screws for treatment of spinal tumors: Advantages for radiation planning and follow-up imaging","volume":"105","author":"Ringel","year":"2017","journal-title":"World Neurosurg"},{"key":"10.1016\/j.adro.2026.102136_bib0018","doi-asserted-by":"crossref","first-page":"2163","DOI":"10.1007\/s10143-020-01384-2","article-title":"Carbon fiber-reinforced PEEK versus titanium implants: An in vitro comparison of susceptibility artifacts in CT and MR imaging","volume":"44","author":"Kr\u00e4tzig","year":"2021","journal-title":"Neurosurg Rev"},{"key":"10.1016\/j.adro.2026.102136_bib0019","doi-asserted-by":"crossref","first-page":"6700","DOI":"10.1038\/s41598-024-52498-2","article-title":"Evaluation of computed tomography artefacts of carbon-fiber and titanium implants in patients with spinal oligometastatic disease undergoing stereotactic ablative radiotherapy","volume":"14","author":"Rijs","year":"2024","journal-title":"Sci Rep"},{"key":"10.1016\/j.adro.2026.102136_bib0020","doi-asserted-by":"crossref","first-page":"e155","DOI":"10.1016\/j.wneu.2022.06.135","article-title":"Qualitative assessment of titanium versus carbon fiber\/polyetheretherketone pedicle screw-related artifacts: A cadaveric study","volume":"166","author":"Kalasauskas","year":"2022","journal-title":"World Neurosurg"},{"key":"10.1016\/j.adro.2026.102136_bib0021","doi-asserted-by":"crossref","first-page":"1754","DOI":"10.1007\/s00586-015-4053-4","article-title":"Metal artifact reduction using virtual monochromatic images for patients with pedicle screws implants on CT","volume":"25","author":"Dong","year":"2016","journal-title":"Eur Spine J"},{"key":"10.1016\/j.adro.2026.102136_bib0022","doi-asserted-by":"crossref","first-page":"R49","DOI":"10.1088\/1361-6560\/aa5293","article-title":"Metal artifacts in computed tomography for radiation therapy planning: Dosimetric effects and impact of metal artifact reduction","volume":"62","author":"Giantsoudi","year":"2017","journal-title":"Phys Med Biol"},{"key":"10.1016\/j.adro.2026.102136_bib0023","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.radonc.2017.09.029","article-title":"Metal artefact reduction for accurate tumour delineation in radiotherapy","volume":"126","author":"Kovacs","year":"2018","journal-title":"Radiother Oncol"},{"key":"10.1016\/j.adro.2026.102136_bib0024","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s12880-021-00554-y","article-title":"Comparison of different CT metal artifact reduction strategies for standard titanium and carbon-fiber reinforced polymer implants in sheep cadavers","volume":"21","author":"Huber","year":"2021","journal-title":"BMC Med Imaging"},{"key":"10.1016\/j.adro.2026.102136_bib0025","doi-asserted-by":"crossref","first-page":"8","DOI":"10.21037\/jss-23-93","article-title":"The use of carbon fiber\/polyetheretherketone (CF\/PEEK) in pedicle screw fixation for spinal neoplasms-potential advantages in postoperative imaging and radiotherapy planning","volume":"10","author":"Ho","year":"2024","journal-title":"J Spine Surg"},{"key":"10.1016\/j.adro.2026.102136_bib0026","doi-asserted-by":"crossref","DOI":"10.1177\/15330338221091700","article-title":"Comprehensive evaluation of carbon-fiber-reinforced polyetheretherketone (CFR-PEEK) spinal hardware for proton and photon planning","volume":"21","author":"Shi","year":"2022","journal-title":"Technol Cancer Res Treat"},{"key":"10.1016\/j.adro.2026.102136_bib0027","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.prro.2023.10.005","article-title":"Quantification of MRI artifacts in carbon fiber reinforced polyetheretherketone thoracolumbar pedicle screw constructs prior to spinal stereotactic radiosurgery","volume":"14","author":"de Almeida","year":"2024","journal-title":"Pract Radiat Oncol"},{"key":"10.1016\/j.adro.2026.102136_bib0028","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-020-73386-5","article-title":"Carbon fiber-reinforced pedicle screws reduce artifacts in magnetic resonance imaging of patients with lumbar spondylodesis","volume":"10","author":"Fleege","year":"2020","journal-title":"Sci Rep"},{"key":"10.1016\/j.adro.2026.102136_bib0029","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1002\/mrm.21967","article-title":"SEMAC: Slice encoding for metal artifact correction in MRI","volume":"62","author":"Lu","year":"2009","journal-title":"Magn Reson Med"},{"key":"10.1016\/j.adro.2026.102136_bib0030","doi-asserted-by":"crossref","first-page":"1737","DOI":"10.1007\/s00256-024-04624-4","article-title":"Managing hardware-related metal artifacts in MRI: Current and evolving techniques","volume":"53","author":"Feuerriegel","year":"2024","journal-title":"Skeletal Radiol"},{"key":"10.1016\/j.adro.2026.102136_bib0031","first-page":"1336","article-title":"Granulomatous reaction induced by metallosis from spine implants confused with Ewing\u2019s sarcoma relapse on PET-CT","volume":"8","author":"Rydberg","year":"2023","journal-title":"J Orthop Res Ther"},{"key":"10.1016\/j.adro.2026.102136_bib0032","doi-asserted-by":"crossref","DOI":"10.1259\/bjr.20190069","article-title":"Impact of different metal artifact reduction techniques on attenuation correction in 18F-FDG PET\/CT examinations","volume":"93","author":"Martin","year":"2020","journal-title":"Br J Radiol"},{"key":"10.1016\/j.adro.2026.102136_bib0033","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1186\/s40658-021-00414-2","article-title":"Quantitative effect of metal artefact reduction on CT-based attenuation correction in FDG PET\/CT in patients with hip prosthesis","volume":"8","author":"Haemels","year":"2021","journal-title":"EJNMMI Phys"},{"key":"10.1016\/j.adro.2026.102136_bib0034","doi-asserted-by":"crossref","DOI":"10.1259\/bjr.20180756","article-title":"Value of CT iterative metal artifact reduction in PET\/CT-clinical evaluation in 100 patients","volume":"92","author":"Reinert","year":"2019","journal-title":"Br J Radiol"},{"key":"10.1016\/j.adro.2026.102136_bib0035","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.radonc.2022.05.035","article-title":"Deviation from consensus contouring guidelines predicts inferior local control after spine stereotactic body radiotherapy","volume":"173","author":"Chen","year":"2022","journal-title":"Radiother Oncol"},{"key":"10.1016\/j.adro.2026.102136_bib0036","doi-asserted-by":"crossref","first-page":"66","DOI":"10.3892\/mco.2024.2764","article-title":"The impact of metal implants on the dose and clinical outcome of radiotherapy (Review)","volume":"21","author":"Liang","year":"2024","journal-title":"Mol Clin Oncol"},{"key":"10.1016\/j.adro.2026.102136_bib0037","doi-asserted-by":"crossref","first-page":"1162","DOI":"10.1118\/1.1565113","article-title":"Dosimetric considerations for patients with HIP prostheses undergoing pelvic irradiation. Report of the AAPM Radiation Therapy Committee Task Group 63","volume":"30","author":"Reft","year":"2003","journal-title":"Med Phys"},{"key":"10.1016\/j.adro.2026.102136_bib0038","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1186\/s13014-022-02058-7","article-title":"Feasibility of postoperative spine stereotactic body radiation therapy in proximity of carbon and titanium hybrid implants using a robotic radiotherapy device","volume":"17","author":"Henzen","year":"2022","journal-title":"Radiat Oncol"},{"key":"10.1016\/j.adro.2026.102136_bib0039","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1002\/acm2.12046","article-title":"Perturbation effects of the carbon fiber-PEEK screws on radiotherapy dose distribution","volume":"18","author":"Nevelsky","year":"2017","journal-title":"J Appl Clin Med Phys"},{"key":"10.1016\/j.adro.2026.102136_bib0040","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.meddos.2011.01.007","article-title":"The effect of metallic implants on radiation therapy in spinal tumor patients with metallic spinal implants","volume":"37","author":"Son","year":"2012","journal-title":"Med Dosim"},{"key":"10.1016\/j.adro.2026.102136_bib0041","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1120\/jacmp.v17i3.5536","article-title":"On the accuracy of dose prediction near metal fixation devices for spine SBRT","volume":"17","author":"Cheng","year":"2016","journal-title":"J Appl Clin Med Phys"},{"key":"10.1016\/j.adro.2026.102136_bib0042","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.phro.2020.09.005","article-title":"Evaluation of multi-institutional end-to-end testing for post-operative spine stereotactic body radiation therapy","volume":"16","author":"Furuya","year":"2020","journal-title":"Phys Imaging Radiat Oncol"},{"key":"10.1016\/j.adro.2026.102136_bib0043","doi-asserted-by":"crossref","DOI":"10.1002\/acm2.14070","article-title":"The dosimetric impact of titanium implants in spinal SBRT using four commercial treatment planning algorithms","volume":"24","author":"Liu","year":"2023","journal-title":"J Appl Clin Med Phys"},{"key":"10.1016\/j.adro.2026.102136_bib0044","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1002\/acm2.12905","article-title":"The dosimetric impact of stabilizing spinal implants in radiotherapy treatment planning with protons and photons: Standard titanium alloy vs radiolucent carbon-fiber-reinforced PEEK systems","volume":"21","author":"M\u00fcller","year":"2020","journal-title":"J Appl Clin Med Phys"},{"key":"10.1016\/j.adro.2026.102136_bib0045","doi-asserted-by":"crossref","DOI":"10.1016\/j.radphyschem.2026.113721","article-title":"The dosimetric impact of titanium and PEEK implants on paravertebral tumor radiotherapy: An animal cadaver-based dosimetry study","volume":"243","author":"Sahinoglu","year":"2026","journal-title":"Radiat Phys Chem"},{"key":"10.1016\/j.adro.2026.102136_bib0046","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1007\/s13246-025-01587-1","article-title":"Advantages of carbon fibre-reinforced polyetheretherketone over titanium implants in spine SBRT: A phantom evaluation","volume":"48","author":"Goodall","year":"2025","journal-title":"Phys Eng Sci Med"},{"key":"10.1016\/j.adro.2026.102136_bib0047","doi-asserted-by":"crossref","DOI":"10.1016\/j.meddos.2026.03.001","article-title":"Dosimetric evaluation of titanium and carbon spinal fixation systems in radiotherapy: Comparison of two dose calculation algorithms","author":"Prochazka","year":"2026","journal-title":"Med Dosim"},{"key":"10.1016\/j.adro.2026.102136_bib0048","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.ejmp.2017.11.008","article-title":"Dosimetric characterization of carbon fiber stabilization devices for post-operative particle therapy","volume":"44","author":"Mastella","year":"2017","journal-title":"Phys Med"},{"key":"10.1016\/j.adro.2026.102136_bib0049","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1016\/j.ijrobp.2024.04.007","article-title":"Proton therapy for spinal tumors: A consensus statement from the particle therapy cooperative group","volume":"120","author":"Chhabra","year":"2024","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.adro.2026.102136_bib0050","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1016\/S1470-2045(21)00196-0","article-title":"Stereotactic body radiotherapy versus conventional external beam radiotherapy in patients with painful spinal metastases: An open-label, multicentre, randomised, controlled, phase 2\/3 trial","volume":"22","author":"Sahgal","year":"2021","journal-title":"Lancet Oncol"},{"key":"10.1016\/j.adro.2026.102136_bib0051","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s11060-024-04842-9","article-title":"Impact of instrumentation material on local recurrence: A case-matched series using carbon fiber-PEEK vs. titanium","volume":"171","author":"Ward","year":"2025","journal-title":"J Neurooncol"},{"key":"10.1016\/j.adro.2026.102136_bib0052","article-title":"Local control after adjuvant radiosurgery for spinal metastasis treated with decompression and posterior segmental stabilization: A comparison between carbon fiber\/polyetheretherketone-based and metallic implants","volume":"10","author":"Andrade-Almeida","year":"2025","journal-title":"Adv Radiat Oncol"},{"key":"10.1016\/j.adro.2026.102136_bib0053","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1186\/s12885-025-14731-7","article-title":"CARBOMETASPINE: Protocol for a multicenter, prospective, randomized controlled trial of carbonfiber spinal fixation in metastatic disease","volume":"25","author":"Krystkiewicz","year":"2025","journal-title":"BMC Cancer"},{"key":"10.1016\/j.adro.2026.102136_bib0054","doi-asserted-by":"crossref","first-page":"e489","DOI":"10.1016\/j.ijrobp.2011.02.018","article-title":"Spot-scanning-based proton therapy for extracranial chordoma","volume":"81","author":"Staab","year":"2011","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.adro.2026.102136_bib0055","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijrobp.2018.01.060","article-title":"Long-term outcomes and prognostic factors after pencil-beam scanning proton radiation therapy for spinal chordomas: A large, single-institution cohort","volume":"101","author":"Snider","year":"2018","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.adro.2026.102136_bib0056","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1016\/j.ijrobp.2006.08.052","article-title":"Extracranial chordoma: Outcome in patients treated with function-preserving surgery followed by spot-scanning proton beam irradiation","volume":"67","author":"Rutz","year":"2007","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.adro.2026.102136_bib0057","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.radonc.2017.07.012","article-title":"Profile of European proton and carbon ion therapy centers assessed by the EORTC facility questionnaire","volume":"124","author":"Weber","year":"2017","journal-title":"Radiother Oncol"},{"key":"10.1016\/j.adro.2026.102136_bib0058","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1097\/BRS.0000000000004177","article-title":"Integrated custom composite polyetheretherketone\/carbon fiber (PEEK\/CF) vertebral body replacement (VBR) in the treatment of bone tumors of the Spine: A preliminary report from a multicenter study","volume":"47","author":"Shen","year":"2022","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.adro.2026.102136_bib0059","doi-asserted-by":"crossref","first-page":"317","DOI":"10.14245\/ns.2244920.460","article-title":"Carbon fiber-reinforced polyetheretherketone spinal implants for treatment of spinal tumors: Perceived advantages and limitations","volume":"20","author":"Alvarez-Breckenridge","year":"2023","journal-title":"Neurospine"},{"key":"10.1016\/j.adro.2026.102136_bib0060","doi-asserted-by":"crossref","first-page":"605","DOI":"10.3171\/2024.10.SPINE24753","article-title":"Carbon fiber-reinforced PEEK implants in oncologic spine surgery: A multicenter experience on implications for postoperative patient management","volume":"42","author":"Hubertus","year":"2025","journal-title":"J Neurosurg Spine"}],"container-title":["Advances in Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2452109426001430?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2452109426001430?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T06:06:33Z","timestamp":1786082793000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2452109426001430"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":60,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["S2452109426001430"],"URL":"https:\/\/doi.org\/10.1016\/j.adro.2026.102136","relation":{},"ISSN":["2452-1094"],"issn-type":[{"value":"2452-1094","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Comparison of Titanium and Carbon Fiber-Reinforced Polyetheretherketone Spinal Implants in Postoperative Spine Stereotactic Body Radiation Therapy: A Comprehensive Review of Current Evidence and Future Perspectives","name":"articletitle","label":"Article Title"},{"value":"Advances in Radiation Oncology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.adro.2026.102136","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Inc. on behalf of American Society for Radiation Oncology.","name":"copyright","label":"Copyright"}],"article-number":"102136"}}