Radiothérapie adaptative : stratégies et bénéfices selon les localisations tumorales

Comparison of stereotactic body radiation therapy versus fractionated radiation therapy for primary liver cancer with portal vein tumor thrombus

“…In recent years, the continuous progress of RT technology has surely significantly improved the efficiency of its application to liver cancer patients. Some studies reported that radiotherapy can effectively control tumor progression, improve long-term survival, and have a low incidence of AEs [ 17 ]. Kwon et al [ 18 ] reported that the 1-year and 3-year disease-free survival rates were 72% and 67.5%, respectively, after radiotherapy.…”

Recommendations for planning and delivery of radical radiotherapy for localized urothelial carcinoma of the bladder

“…Overall benefits of adaptive radiotherapy. Overall, ART strategies have shown dosimetric benefits, mostly in terms of reduction of irradiated healthy tissue volume (27-40%) due to the reduction of CTV-PTV margins [151]. Several studies have also shown an improvement in target volume coverage [123,132,141].…”

PET and MRI guided adaptive radiotherapy: Rational, feasibility and benefit

“…Translational movements of up to 2 cm occur related to variations in rectal distention. Finally, the tumour volume decreases by an average of 2/3 during treatment [61]. In order to take into account all these modifications and to adapt radiotherapy as well as possible, ART protocols have been developed, mainly based on treatment plan libraries.…”

“…At each fraction, the most suitable plan is selected from IGRT (CT, cone-beam CT or MV-CT). Such strategy enables better target volume coverage and significant dose reduction in the bladder and GI structures [61]. PET and MRI may also be used to guide ART strategies.…”