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James M. Metz, M.D.

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Henry K. Pancoast Professor of Radiation Oncology
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Active Physician, Penn Presbyterian Medical Center
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Attending Physician, Hospital of the University of Pennsylvania
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Associate Director for Clinical Service & Programs, Abramson Comprehensive Cancer Center, University of Pennsylvania
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Executive Director, OncoLink, Abramson Comprehensive Cancer Center, University of Pennsylvania
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Chair, Radiation Oncology, University of Pennsylvania
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Department: Radiation Oncology
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46 Contact information
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Perelman Center for Advanced Medicine
1f 3400 Civic Center Blvd
29 2 West
Philadelphia, PA 19104
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2e Office: 215-349-5570
32 Fax: 215-349-5923
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13 Education:
21 7 BS 14 (Biology) c
2b Juniata College , 1989.
21 7 MS 2d (Clinical Immunology/Microbiology) c
2e Hahnemann University , 1991.
21 7 MD 15 (Medicine) c
3d UMDNJ-Robert Wood Johnson Med School, 1995.
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Description of Clinical Expertise

2d1 Dr. Metz serves as Chair of Radiation Oncology at the Perelman School of Medicine and holds the Henry K. Pancoast Endowed Professorship. He is Associate Director for Clinical Services and Programs at the Abramson Comprehensive Cancer Center of the University of Pennsylvania. Dr. Metz led the development of the Roberts Proton Therapy Center, the largest proton center in the world completely integrated with conventional cancer services. Dr. Metz has become an international leader in the application of proton therapy for the treatment of a variety of malignancies. He continues to work to integrate proton therapy as a new treatment paradigm for cancer and is leading the expansion of proton therapy.
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1c7 Dr. Metz specializes in the use of radiation for the treatment of gastrointestinal malignancies. His research interests include the treatment of GI malignancies in the multidisciplinary setting, as well as the utilization of complementary and alternative medications by cancer patients, and use of the Internet to provide cancer related information. A major area of interest has been the development of proton therapy at Penn and internationally.
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3a7 Dr. Metz also serves as Executive Director of OncoLink (www.oncolink.upenn.edu), the award winning Internet resource from the Abramson Comprehensive Cancer Center of the University of Pennsylvania that was founded in 1994. As Executive Director, Dr. Metz leads OncoLink’s mission to help cancer patients, families, health care professionals, and the general public find accurate cancer-related information online. The website has led the way in online education for cancer patients and healthcare providers, receiving numerous awards and recognition from most major authorities as one of the best cancer information websites. Currently OncoLink is developing interactive content and personalized information for individuals while collecting important information to move the field forward, particularly in the area of cancer survivorship. Its reach is international in scope with over 285,000 unique visitors served per month.
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Selected Publications

127 Verginadis II, Velalopoulou A, Kim MM, Kim K, Paraskevaidis I, Bell B, Oliaei Motlagh SA, Karaj A, Banerjee E, Finesso G, Assenmacher CA, Radaelli E, Lu J,Lin Y, Putt ME, Diffenderfer ES, Guha C, Qin L, Metz JM, Maity A, Cengel KA,Koumenis C, Busch TM f2 : FLASH proton reirradiation, with or without hypofractionation, reduces chronic toxicity in the normal murine intestine, skin and bone. RadioTher. Oncology April 2025 Notes: doi:10.1016/j.radonc.2025.110744.

78 Ni H, Reitman ZJ, Zou W, Akhtar MN, Paul R, Huang M, Zhang D, Zheng H, Zhang 8d R, Ma R, Ngo G, Zhang L, Diffenderfer ES, Motlagh SAO, Kim MM, Minn AJ, Dorsey JF, Foster JB, Metz J, Koumenis C, Kirsch DG, Gong Y, Fan Y. 84 : FLASH radiation reprograms lipid metabolism and macrophage immunity and sensitizes medulloblastoma to CAR-T cell therapy. 59 Nat. Cancer March 2025 Notes: doi: 10.1038/s43018-025-00905-6.

76 Lee G, Nelson B, Koenig J, Plastaras JP, Metz JM, Yeap BY, Zhang Y, Drapek 52 LC, Baglini C, Ryan DP, Parikh AR, Allen JN, Clark JW, Blaszkowsky LS, Ben-Josef 21 E, Hong TS, Kharofa JR, Wo JY. 3a : Long-term Outcomes of Definitive Chemoradiation 4c With Proton Therapy for Treatment of Carcinoma of the Anal Canal: Combined 23 Analysis of 2 Prospective Trials. 8d Int. J Radiation Oncology-Biology-Physics January 2025 Notes: doi:10.1016/j.ijrobp.2024.12.034 Epub ahead of print

79 Kim K, Kim MM, Skoufos G, Diffenderfer ES, Motlagh SAO, Kokkorakis M, Koliaki 49 I, Morcos G, Shoniyozov K, Griffin J, Hatzigeorgiou AG, Metz JM, Lin A, 3b Feigenberg SJ, Cengel KA, Ky B, Koumenis C, Verginadis II 64 : FLASH Proton Radiation Therapy Mitigates Inflammatory and Fibrotic Pathways and Preserves 4a Cardiac Function in a Preclinical Mouse Model of Radiation-Induced Heart a Disease. 7b Int. J Radiation Oncology-Biology-Physics February 2024 Notes: doi:10.1016/j.ijrobp.2024.01.224.

71 Anstadt EJ, Carmona R, Berlin E, Yegya-Raman N, Venigalla S, Reddy V, 4f Williams GR, Leibensperger MR, Wojcieszynski A, Baumann BC, Lee MK, Plastaras 2f JP, Furth EE, Mell LK, Metz JM, Ben-Josef E. 87 : SMAD4 loss predicts worse overall and distant metastasis-free survival in patients with resected pancreatic adenocarcinoma. 61 Cancer February 2024 Notes: doi:10.1002/cncr.35058. Epub 2023 Oct 12

ee Amit U, Shagun M, Plastaras JP, Metz JM, Karasic TB, Lubas MJ, Ben-Josef E.: Clinical outcomes and risk stratification in unresectable biliary tract cancers undergoing radiation therapy. 61 Radiation Oncology August 2024 Notes: doi:10.1186/s131014-024-02481-y.

78 erginadis II, Velalopoulou A, Kim MM, Kim K, Paraskevaidis I, Bell B, Oliaei 4f Motlagh SA, Karaj A, Banerjee E, Finesso G, Assenmacher CA, Radaelli E, Lu J, 4e Lin Y, Putt ME, Diffenderfer ES, Guha C, Qin L, Metz JM, Maity A, Cengel KA, 17 Koumenis C, Busch TM. 94 : FLASH proton reirradiation, with or without hypofractionation, mitigates chronic toxicity in the normal murine intestine, skin, and bone. 37 bioRxiv [Preprint] July 2024.

79 Hartsell WF, Simone CB 2nd, Godes D, Maggiore J, Mehta MP, Frank SJ, Metz JM, b Choi JI. 52 : Temporal Evolution and Diagnostic Diversification of Patients Receiving 4f Proton Therapy in the United States: A Ten-Year Trend Analysis (2012 to 2021) 33 From the National Association for Proton Therapy. 79 Int. J Radiation Oncology-Biology-Physics July 2024 Notes: doi: 10.1016/j.ijrobp.2023.12.041.

14a Chowdhury P, Velalopoulou A, Verginadis II, Morcos G, Loo PE, Kim MM, Motlagh SAO, Shoniyozov K, Diffenderfer ES, Ocampo EA, Putt M, Assenmacher CA, Radaelli E, Lu J, Qin L, Liu H, Leli NM, Girdhani S, Denef N, Vander Stappen F, Cengel KA, Busch TM, Metz JM, Dong L, Lin A, Koumenis C. 24 : Proton FLASH Radiotherapy f0 Ameliorates Radiation-induced Salivary Gland Dysfunction and Oral Mucositis and Increases Survival in a Mouse Model of Head and Neck Cancer. Mol Cancer Therapy. June 2024 Notes: doi: 10.1158/1535-7163.MCT-23-0663.

77 Bakhtiar M, Butala AA, Berlin EE, Metz JM, Bradley JD, Jones JA, Lukens JN, 14 Paydar I, Taunk NK 70 : Factors Associated With and Characteristics of Patients Receiving Proton Therapy at the End of Life. 73 International Journal Particle Therapy April 2024 Notes: doi:10.1016/j.ijpt.2024.100014.

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