2021
DOI: 10.3389/fonc.2021.662826
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Particle Therapy for Breast Cancer: Benefits and Challenges

Abstract: Hadron therapy with protons and carbon ions is widely attracting interest as a potential competitor of conventional photon radiotherapy. Exquisite dose distribution of charged particles allows for a higher local control of the tumor and lower probability of damage to nearby healthy tissues. Heavy ions have presumed biological advantages rising from their high-linear energy transfer (LET) characteristics, including greater cell-killing effectiveness and reduced heterogeneity dependence of radiation response. Al… Show more

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Cited by 8 publications
(7 citation statements)
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“…Suboptimal patient selection is a potential factor. The majority of early breast cancer patients who receive particle therapy as radical treatment are at low risk of recurrence or cannot tolerate surgery because of physical reasons such as cardiopulmonary failure ( 72 ). Further, technical challenges of particle therapy also remain concern.…”
Section: Discussionmentioning
confidence: 99%
“…Suboptimal patient selection is a potential factor. The majority of early breast cancer patients who receive particle therapy as radical treatment are at low risk of recurrence or cannot tolerate surgery because of physical reasons such as cardiopulmonary failure ( 72 ). Further, technical challenges of particle therapy also remain concern.…”
Section: Discussionmentioning
confidence: 99%
“…The dose deposition of carbon ion beam is low in the entrance area of normal tissue exposure, but greatly enhanced at the end of tumor range, and then suddenly decreased to close to zero, which can achieve “targeted explosion” of tumor. Dosimetric comparative analyses have identified the advantages of proton and carbon ion therapy for better heart protection with radiotherapy to chest wall ± breast target ( 13 , 14 ).…”
Section: Comparison Of the Effects Of Different Radiotherapy Techniqu...mentioning
confidence: 99%
“…However, the associated challenge with surgery in breast cancer therapy involves macromolecular peripheral oxidative damage during the postoperative period [ 12 ]. Similarly, radiations are used in breast cancer treatment followed by surgery; however, it poses the challenge of resistance and in patients with 5-year age has shown higher chances of relapse [ 55 ]. To cope with the radiation challenge, a recent study is aimed at evaluating the clinical efficacy and side effects of intraoperative radiotherapy after neoadjuvant chemotherapy.…”
Section: Challenges In Breast Cancer Treatmentmentioning
confidence: 99%