Radiation therapy for breast cancer: Literature review

被引:62
作者
Balaji, Karunakaran [1 ,2 ]
Subramanian, Balaji [1 ]
Yadav, Poonam [3 ,4 ]
Radha, Chandrasekaran Anu [2 ]
Ramasubramanian, Velayudham [2 ]
机构
[1] Global Hosp, Dept Radiat Oncol, 439 Cheran Nagar Perumbakkam, Madras 600100, Tamil Nadu, India
[2] VIT Univ, Sch Adv Sci, Vellore, Tamil Nadu, India
[3] Univ Wisconsin, Dept Med Phys & Human Oncol, Madison, WI 53706 USA
[4] Aspirus UW Canc Ctr, Wisconsin Rapids, WI USA
关键词
Breast; Chest wall; VMAT; Hybrid; IMRT; MODULATED ARC THERAPY; HYBRID IMRT PLANS; FRACTION MOTION; WHOLE-BREAST; RADIOTHERAPY; IMPACT; RISK; 3D-CRT;
D O I
10.1016/j.meddos.2016.06.005
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Concave shape with variable size target volume makes treatment planning for the breast/chest wall a challenge. Conventional techniques used for the breast/chest wall cancer treatment provided better sparing of organs at risk (OARs), with poor conformity and uniformity to the target volume. Advanced technologies such as intensity modulated radiotherapy (IMRT) and volumetric modulated arc therapy (VMAT) improve the target coverage at the cost of higher low dose volumes to OARs. Novel hybrid techniques present promising results in breast/chest wall irradiation in terms of target coverage as well as OARs sparing. Several published data compared these technologies for the benefit of the breast/chest wall with or without nodal volumes. The aim of this article is to review relevant data and identify the scope for further research in developing optimal treatment plan for breast/chest wall cancer treatment. (C) 2016 American Association of Medical Dosimetrists.
引用
收藏
页码:253 / 257
页数:5
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