{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T06:41:34Z","timestamp":1792737694984,"version":"4.5.0"},"reference-count":31,"publisher":"Elsevier BV","issue":"4","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":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","redjournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Radiation Oncology*Biology*Physics"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.ijrobp.2026.04.011","type":"journal-article","created":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T05:05:06Z","timestamp":1776575106000},"page":"1211-1219","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Does Pencil Beam Scanning Proton Therapy Impart a Higher Risk of Capsular Contracture Compared With Intensity Modulated Photon Radiation Therapy in the Postmastectomy Reconstruction Setting?"],"prefix":"10.1016","volume":"126","author":[{"given":"Mehmet Murat","family":"Zerey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5140-9362","authenticated-orcid":false,"given":"Omer","family":"Gal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole A.","family":"Feenstra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcio","family":"Fagundes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria-Amelia M.","family":"Rodrigues","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel A.","family":"Medina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia C.","family":"Hodgson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alonso N.","family":"Gutierrez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Wroe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Panoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ijrobp.2026.04.011_bib0001","first-page":"10","article-title":"Cancer statistics, 2025","volume":"75","author":"Siegel","year":"2025","journal-title":"CA Cancer J Clin"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0002","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1097\/PRS.0b013e3182729cde","article-title":"A paradigm shift in U.S. nreast reconstruction: Increasing implant rates","volume":"131","author":"Albornoz","year":"2013","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0003","doi-asserted-by":"crossref","first-page":"1848","DOI":"10.1016\/j.ejso.2020.06.009","article-title":"The added value of immediate breast reconstruction to health-related quality of life of breast cancer patients","volume":"46","author":"van Bommel","year":"2020","journal-title":"Eur J Surg Oncol"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0004","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/S0140-6736(83)91452-6","article-title":"Effects of immediate breast reconstruction on psychosocial morbidity after mastectomy","volume":"321","author":"Dean","year":"1983","journal-title":"Lancet"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0005","doi-asserted-by":"crossref","first-page":"e9548","DOI":"10.1097\/MD.0000000000009548","article-title":"The role of postmastectomy radiation therapy in patients with immediate prosthetic breast reconstruction: A meta-analysis","volume":"97","author":"Pu","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0006","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1016\/j.ijrobp.2008.01.055","article-title":"Clinical outcomes of postmastectomy radiation therapy after immediate breast reconstruction","volume":"72","author":"Jhaveri","year":"2008","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0007","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/j.ijrobp.2016.12.008","article-title":"Joint estimation of cardiac toxicity and recurrence risks after comprehensive nodal photon versus proton therapy for breast cancer","volume":"97","author":"Stick","year":"2017","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0008","first-page":"116","article-title":"Clinical outcomes and toxicity of proton beam radiation therapy for re-irradiation of locally recurrent breast cancer","volume":"19","author":"Gabani","year":"2019","journal-title":"Clin Transl Radiat Oncol"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0009","doi-asserted-by":"crossref","first-page":"269","DOI":"10.14338\/IJPT-22-00034.1","article-title":"Incidence of rib fracture following treatment with proton therapy for breast cancer","volume":"9","author":"Bradley","year":"2023","journal-title":"Int J Part Ther"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0010","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.prro.2022.05.017","article-title":"Radiation modality (proton\/photon), timing, and complication rates in patients with breast cancer receiving 2-stages expander\/implant reconstruction","volume":"12","author":"Naoum","year":"2022","journal-title":"Pract Radiat Oncol"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0011","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1016\/j.ijrobp.2024.11.079","article-title":"Impact of prepectoral implant placement and radiation modalities (protons\/photons\/dosimetry) in mastectomy patients undergoing immediate single stage direct-to-implant breast reconstruction","volume":"121","author":"Naoum","year":"2025","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0012","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.bjps.2024.08.057","article-title":"Capsular contracture in breast reconstruction: A systematic review and meta-analysis","volume":"98","author":"Christodoulou","year":"2024","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0013","doi-asserted-by":"crossref","DOI":"10.1016\/j.breast.2024.103782","article-title":"Postoperative complications of hypofractionated and conventional fractionated radiation therapy in patients with implant-based breast reconstruction: A systematic review and meta-analysis","volume":"77","author":"Park","year":"2024","journal-title":"Breast"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0014","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1097\/SAP.0000000000002190","article-title":"Prepectoral versus subpectoral implant-based breast reconstruction: A meta-analysis","volume":"85","author":"Li","year":"2020","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0015","doi-asserted-by":"crossref","first-page":"2899","DOI":"10.1245\/s10434-018-6602-7","article-title":"Impact of postmastectomy radiation therapy in prepectoral versus subpectoral implant-based breast reconstruction","volume":"25","author":"Sinnott","year":"2018","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0016","doi-asserted-by":"crossref","first-page":"2329","DOI":"10.1200\/JCO.19.02850","article-title":"Integration of breast reconstruction and postmastectomy radiotherapy","volume":"38","author":"Shumway","year":"2020","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0017","doi-asserted-by":"crossref","first-page":"2552","DOI":"10.1002\/cncr.26521","article-title":"Long-term outcomes in breast cancer patients undergoing immediate 2-stage expander\/implant reconstruction and postmastectomy radiation","volume":"118","author":"Ho","year":"2011","journal-title":"Cancer"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0018","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.radonc.2019.05.022","article-title":"Post-mastectomy intensity modulated proton therapy after immediate breast reconstruction: Initial report of reconstruction outcomes and predictors of complications","volume":"140","author":"Smith","year":"2019","journal-title":"Radiother Oncol"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0019","article-title":"Breast reconstruction complications after postmastectomy proton radiation therapy for breast cancer","volume":"9","author":"Berlin","year":"2024","journal-title":"Adv Radiat Oncol"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0020","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1097\/00006534-199510000-00018","article-title":"Classification of capsular contracture after prosthetic breast reconstruction","volume":"96","author":"Spear","year":"1995","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0021","doi-asserted-by":"crossref","DOI":"10.1002\/acm2.14512","article-title":"Evaluation of a non-metallic dual-port expander for intensity modulated proton therapy","volume":"25","author":"McConnell","year":"2024","journal-title":"J Appl Clin Med Phys"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0022","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.ijrobp.2025.01.034","article-title":"Protons versus photons postmastectomy radiation therapy effects on breast reconstruction outcomes and dosimetry analysis","volume":"122","author":"Naoum","year":"2025","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0023","doi-asserted-by":"crossref","first-page":"1e","DOI":"10.1097\/PRS.0000000000008635","article-title":"Risk of developing breast reconstruction complications: A machine-learning nomogram for individualized risk estimation with and without postmastectomy radiation therapy","volume":"149","author":"Naoum","year":"2021","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0024","doi-asserted-by":"crossref","first-page":"S45","DOI":"10.1016\/j.ijrobp.2023.06.322","article-title":"Increased complication rates with proton therapy in breast cancer patients with immediate, implant-based reconstruction: Single-institution comparative effectiveness analysis","volume":"117","author":"Taghian","year":"2023","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0025","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1097\/PRS.0000000000012232","article-title":"Comparative outcomes of proton versus photon postmastectomy radiation therapy in prepectoral implant-based breast reconstruction","volume":"156","author":"Desai","year":"2025","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0026","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1016\/j.ijrobp.2023.05.036","article-title":"Postmastectomy intensity modulated proton therapy: 5-year oncologic and patient-reported outcomes","volume":"117","author":"Gao","year":"2023","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0027","doi-asserted-by":"crossref","first-page":"e53","DOI":"10.1002\/mp.13390","article-title":"Report of the AAPM TG-256 on the relative biological effectiveness of proton beams in radiation therapy","volume":"46","author":"Paganetti","year":"2019","journal-title":"Med Phy"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0028","doi-asserted-by":"crossref","first-page":"395","DOI":"10.4048\/jbc.2024.0141","article-title":"Capsular contracture after postmastectomy radiation in implant-based breast reconstruction: Effect of implant pocket and two-stage surgery","volume":"27","author":"Moon","year":"2024","journal-title":"J Breast Cancer"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0029","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1016\/j.ijrobp.2019.11.008","article-title":"Single stage direct-to-implant breast reconstruction has lower complication rates than tissue expander and implant and comparable rates to autologous reconstruction in patients receiving postmastectomy radiation","volume":"106","author":"Naoum","year":"2020","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0030","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.bjps.2023.08.021","article-title":"Less is more? One-stage versus two-stage implant-based breast reconstruction: A systematic review and meta-analysis of comparative studies","volume":"86","author":"van der Wielen","year":"2023","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.ijrobp.2026.04.011_bib0031","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1097\/PRS.0000000000007238","article-title":"The baker classification for capsular contracture in breast implant surgery is unreliable as a diagnostic tool","volume":"146","author":"de Bakker","year":"2020","journal-title":"Plast Reconstr Surg"}],"container-title":["International Journal of Radiation Oncology*Biology*Physics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0360301626005730?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0360301626005730?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T06:35:22Z","timestamp":1792737322000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0360301626005730"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["S0360301626005730"],"URL":"https:\/\/doi.org\/10.1016\/j.ijrobp.2026.04.011","relation":{},"ISSN":["0360-3016"],"issn-type":[{"value":"0360-3016","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Does Pencil Beam Scanning Proton Therapy Impart a Higher Risk of Capsular Contracture Compared With Intensity Modulated Photon Radiation Therapy in the Postmastectomy Reconstruction Setting?","name":"articletitle","label":"Article Title"},{"value":"International Journal of Radiation Oncology*Biology*Physics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ijrobp.2026.04.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}