From guidelines to radiology practice: navigating the 2023 ASCO guidelines for advanced gastroesophageal cancer and beyond.

Autor: Tippareddy C; Department of Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, 1110 Euclid Ave, Cleveland, OH, 44106, USA. Charit.Tippareddy2@uhhospitals.org.; Case Western Reserve University School of Medicine, Cleveland, OH, USA. Charit.Tippareddy2@uhhospitals.org., Martinez OM; Case Western Reserve University School of Medicine, Cleveland, OH, USA., Benza AR; Department of Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, 1110 Euclid Ave, Cleveland, OH, 44106, USA.; Case Western Reserve University School of Medicine, Cleveland, OH, USA., Bera K; Department of Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, 1110 Euclid Ave, Cleveland, OH, 44106, USA.; Case Western Reserve University School of Medicine, Cleveland, OH, USA., Ramaiya N; Department of Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, 1110 Euclid Ave, Cleveland, OH, 44106, USA.; Case Western Reserve University School of Medicine, Cleveland, OH, USA., Tirumani SH; Department of Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, 1110 Euclid Ave, Cleveland, OH, 44106, USA.; Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Jazyk: angličtina
Zdroj: Abdominal radiology (New York) [Abdom Radiol (NY)] 2024 Aug 09. Date of Electronic Publication: 2024 Aug 09.
DOI: 10.1007/s00261-024-04499-y
Abstrakt: The American Society of Clinical Oncology (ASCO) updated the guidelines for the treatment of advanced gastroesophageal (GE) cancer in 2023, signifying a major shift towards targeted therapeutics and precision medicine. This article serves as an imaging-based review of recent developments in the care of patients with GE cancer. We cover the epidemiology, the developing treatment paradigms, and the imaging assessment of GE malignancy. In addition, this review aims to familiarize radiologists with the unique adverse effects pertaining to therapeutics, surgeries, radiation therapies, and associated imaging corollaries. A case-based approach will be used to both explore the efficacy of modern treatments and demonstrate their adverse effects, such as chemotherapy-associated pneumonitis, radiation esophagitis, and anastomotic failure. With this comprehensive exploration of gastroesophageal cancer, radiologists will be equipped with the essential tools to inform the treatment decisions made by medical oncologists, radiation oncologists, and surgical oncologists in the new era of precision medicine.
(© 2024. The Author(s).)
Databáze: MEDLINE
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