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[Radiotherapy promises: focus on lung cancer].
- Source :
-
Bulletin du cancer [Bull Cancer] 2013 Jun; Vol. 100 (6), pp. 575-85. - Publication Year :
- 2013
-
Abstract
- Radiotherapy is a key cancer treatment, which greatly modified its practice in recent years thanks to medical imaging and technical improvements. The systematic use of computed tomography (CT) for treatment planning, the imaging fusion/co-registration between CT/magnetic resonance imaging (MRI) or CT/positron emission tomography (PET) improve target identification/selection and delineation. New irradiation techniques such as image-guided radiotherapy (IGRT), stereotactic radiotherapy or hadron therapy offer a more diverse therapeutic armamentarium to patients together with lower toxicity. Radiotherapy, as well as medical oncology, tends to offer a personalized treatment to patients thanks to the IGRT, which takes into account the inter- or intra-fraction anatomic variations. IGRT leads to adaptive radiotherapy (ART) with a new planification in the treatment course in order to decrease toxicity and improve tumor control. The use of systemic therapies with radiations needs to be studied in order to improve efficiency without increasing toxicities from these multimodal approaches. Finally, radiotherapy advances were impacted by radiotherapy accidents like Epinal. They led to an increased quality control with the intensification of identity control, the emergence of in vivo dosimetry or the experience feedback committee in radiotherapy. We will illustrate through the example of lung cancer.
- Subjects :
- Chemoradiotherapy
Four-Dimensional Computed Tomography
Humans
Lung Neoplasms diagnosis
Lung Neoplasms surgery
Magnetic Resonance Imaging methods
Molecular Targeted Therapy
Positron-Emission Tomography methods
Proton Therapy
Quality Control
Radiosurgery methods
Radiotherapy Planning, Computer-Assisted methods
Radiotherapy, Intensity-Modulated methods
Lung Neoplasms radiotherapy
Radiotherapy, Image-Guided methods
Subjects
Details
- Language :
- French
- ISSN :
- 1769-6917
- Volume :
- 100
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Bulletin du cancer
- Publication Type :
- Academic Journal
- Accession number :
- 23719541
- Full Text :
- https://doi.org/10.1684/bdc.2013.1760