High dose bystander effects in spatially fractionated radiation therapy

被引:112
作者
Asur, Rajalakshmi [1 ]
Butterworth, Karl T. [2 ]
Penagaricano, Jose A. [1 ]
Prise, Kevin M. [2 ]
Griffin, Robert J. [1 ]
机构
[1] Univ Arkansas Med Sci, Dept Radiat Oncol, Little Rock, AR 72205 USA
[2] Queens Univ Belfast, Ctr Canc Res & Cell Biol, Belfast, Antrim, North Ireland
关键词
GRID; IMRT; Bystander effects; Spatially fractionated radiation therapy; ALPHA-PARTICLES; GENE-EXPRESSION; GRID RADIATION; IN-VITRO; CARCINOMA-CELLS; GLIOMA-CELLS; TUMOR-CELLS; CANCER; RESPONSES; FIBROBLASTS;
D O I
10.1016/j.canlet.2013.10.032
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Traditional radiotherapy of bulky tumors has certain limitations. Spatially fractionated radiation therapy (GRID) and intensity modulated radiotherapy (IMRT) are examples of advanced modulated beam therapies that help in significant reductions in normal tissue damage. GRID refers to the delivery of a single high dose of radiation to a large treatment area that is divided into several smaller fields, while IMRT allows improved dose conformity to the tumor target compared to conventional three-dimensional conformal radiotherapy. In this review, we consider spatially fractionated radiotherapy approaches focusing on GRID and IMRT, and present complementary evidence from different studies which support the role of radiation induced signaling effects in the overall radiobiological rationale for these treatments. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:52 / 57
页数:6
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