Imaging-Based Treatment Adaptation in Radiation Oncology

Autor: Esther G.C. Troost, Daniela Thorwarth, Wim J.G. Oyen
Přispěvatelé: Radiotherapie, RS: GROW - Oncology, RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: The Journal of Nuclear Medicine (1978), 56, 1922-9
Journal of Nuclear Medicine 56(2015)12, 1922-1929
The Journal of Nuclear Medicine (1978), 56, 12, pp. 1922-9
Journal of Nuclear Medicine, 56(12), 1922-1929. Society of Nuclear Medicine and Molecular Imaging
ISSN: 1535-5667
0161-5505
Popis: Item does not contain fulltext In many tumor types, significant effort is being put into patient-tailored adaptation of treatment to improve outcome and preferably reduce toxicity. These opportunities first arose with the introduction of modern irradiation techniques (e.g., intensity-modulated radiotherapy) combined with functional imaging for more precise delineation of target volume. On the basis of functional CT, MRI, and PET results, radiation target volumes are altered during the course of treatment, or subvolumes inside the primary tumor are defined to enhance the dosing strategy. Moreover, the probability of complications to normal tissues is predicted using anatomic or functional imaging, such as in the use of CT or PET to predict radiation pneumonitis. Besides focusing, monitoring, and adapting photon therapy for solid tumors, PET also has a role in verifying proton-beam therapy. This article discusses the current state and remaining challenges of imaging-based treatment adaptation in radiation oncology.
Databáze: OpenAIRE