Continuous Hyperfractionated Accelerated Radiotherapy (CHART) and Non-conventionally Fractionated Radiotherapy in the Treatment of Non-small Cell Lung Cancer: a Review and Consideration of Future Directions

被引:11
|
作者
Hatton, M. Q. F. [1 ]
Martin, J. E. [1 ]
机构
[1] Weston Pk Hosp, Dept Clin Oncol, Sheffield S10 2SJ, S Yorkshire, England
关键词
Accelerated radiotherapy; CHART; chemoradiotherapy; non-small cell lung cancer; 3-DIMENSIONAL CONFORMAL RADIOTHERAPY; THERAPY-ONCOLOGY-GROUP; STEREOTACTIC BODY RADIOTHERAPY; HIGH-DOSE RADIATION; INDUCTION CHEMOTHERAPY; TUMOR-CONTROL; PHASE-I/II; HYPOFRACTIONATED RADIOTHERAPY; CLINICAL-OUTCOMES; MULTICENTER TRIAL;
D O I
10.1016/j.clon.2010.03.010
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
There is a well-established role for radiation treatment in the management of non-small cell lung cancer As a single modality, it is indicated as a radical treatment option for patients deemed unsuitable for chemotherapy with inoperable locoregional disease or who decline surgery In this patient group, the evidence shows advantages for accelerated treatment regimes, e g continuous hyperfractionated accelerated radiotherapy (CHART) Research efforts should be directed towards close escalation with the application of the new technologies available The multi-modality approach of chemoradiotherapy is established in the radical treatment of non-small cell lung cancer in those who are inoperable, radically treatable and Fit enough to receive chemotherapy How best these two modalities ale combined remains unclear, and the combination of CHART and other non-conventionally fractionated radiotherapy schedules with chemotherapy and targeted agents is another potentially productive research area (C) 2010 The Royal College of Radiologists Published by Elsevier Ltd All rights reserved
引用
收藏
页码:356 / 364
页数:9
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