Current and Future Challenges of Radiation Oncology in Iran: A Report from the Iranian Society of Clinical Oncology

Alipour, Ahmad; Barzegartahamtan, Mohammadreza; Ghavamnasiri, Mohammad Reza; Tahamtan, R A Mohammadpour; Dehghan, Habibollah; Sebzari, Ahmadreza; Novin, Kambiz; Aloosh, Mehdi

doi:10.1016/j.clon.2017.12.021

Cited by 12 publications

(16 citation statements)

References 19 publications

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“…21,25 A recent study in Iran demonstrated the need for approximately four times more Linac equipment at the national level. 33 It also demonstrated that many children were treated by nonpediatric radiation oncologists. As a result, there is a risk that the GICC objectives may fail unless lack of equipment and poor access to RT services for children with cancer are properly addressed.…”

Section: Discussionmentioning

confidence: 99%

Establishing a pediatric radiation oncology department in a low‐ and middle‐income country: Major challenge in implementing the Global Initiative for Childhood Cancer

Ghalibafian

Masoudifar

Mohammadi

et al. 2021

Pediatric Blood & Cancer

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Section: Discussionmentioning

confidence: 99%

Establishing a pediatric radiation oncology department in a low‐ and middle‐income country: Major challenge in implementing the Global Initiative for Childhood Cancer

Ghalibafian

Masoudifar

Mohammadi

et al. 2021

Pediatric Blood & Cancer

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“…There is a large gap between available radiation therapy units and facilities in Iran and that of developed countries (5). Table 1 shows some of the published international recommendations for adjuvant breast radiotherapy during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Breast cancer is the most common malignancy among Iranian women (4), however, based on international standards, there is still a large gap between available radiation therapy units and facilities in Iran compared to developed countries. A large number of centers in Iran mainly use the 3DCRT technique, and access to advanced technologies, such as intensity-modulated radiation therapy (IMRT), tomotherapy, and stereotactic body radiation therapy (SBRT) and CyberKnife is extremely limited (5). Besides, many populated areas are considerably far from the radiotherapy centers, and generally, those centers are not able to provide accommodation or transportation for the patients and their families.…”

Section: Contextmentioning

confidence: 99%

“…Currently, nine provinces (out of 31) with a total population of more than 10 million do not have an active radiotherapy center (5). Modified radical mastectomy remains the surgical treatment of choice in regions where postoperative radiotherapy is not available (10,11).…”

Section: Mastectomymentioning

confidence: 99%

“…Some international guidelines and published papers have suggested using simultaneous integrated boost (SIB) (7). As mentioned before, the majority of centers in Iran mainly use the 3DCRT technique, and access to IMRT is limited (5). Therefore, SIB cannot be considered a valid option for the majority of our centers.…”

Section: Invasive Carcinomamentioning

confidence: 99%

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Radiation Therapy for Breast Cancer During the COVID-19 Pandemic in Low Resource Countries: Consensus Statement from the Iranian Society of Radiation Oncology

Mafi

Motlagh

Foudazi³

et al. 2022

Int J Cancer Manag

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Context: COVID-19 pandemic has resulted in considerable overloading of health care systems in almost all regions of the world. Among different malignancies, breast cancer can be considered as a typical example of how the decision-making process for radiation treatment can be adapted to unusual situations. There exist several international guidelines in order to modify radiotherapy treatments during the COVID-19 pandemic, however, some of their recommendations are not applicable in regions with limited resources. In this manuscript, we provided guidance to deliver radiotherapy to patients with breast cancer during the COVID-19 pandemic based on our available nationwide resources. Evidence Acquisition: A team of expert radiation oncologists convened multidisciplinary and cross-institutional meetings and reviewed the major internationally published guidelines and relevant literature in the field of breast radiotherapy during the COVID-19 pandemic in order to establish recommendations for the safe application of radiation regimens based on the national limited resources. Results: Practical guidance in order to deliver radiotherapy to patients with breast cancer during the COVID-19 pandemic based on available nationwide resources was developed. Conclusions: Many of the international recommendations on the breast cancer radiotherapy during COVID-19 outbreak are not applicable in countries with limited resources. Therefore, modifying the guidelines based on the available resources is mandatory in order to achieve the best possible results.

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Oncoplastic Repair in Breast Conservation: Comprehensive Evaluation of Techniques and Oncologic Outcomes of 937 Patients

Kaviani

Tabary

Zand³

et al. 2020

Clinical Breast Cancer

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Current and Future Challenges of Radiation Oncology in Iran: A Report from the Iranian Society of Clinical Oncology

Cited by 12 publications

References 19 publications

Establishing a pediatric radiation oncology department in a low‐ and middle‐income country: Major challenge in implementing the Global Initiative for Childhood Cancer

Establishing a pediatric radiation oncology department in a low‐ and middle‐income country: Major challenge in implementing the Global Initiative for Childhood Cancer

Radiation Therapy for Breast Cancer During the COVID-19 Pandemic in Low Resource Countries: Consensus Statement from the Iranian Society of Radiation Oncology

Oncoplastic Repair in Breast Conservation: Comprehensive Evaluation of Techniques and Oncologic Outcomes of 937 Patients

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