Evolution of Radiotherapy- A Brief Review

Dhanjit Lahkar
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Abstract

Beginning with the discovery of X-rays by Wilhelm Conrad Röntgen in 1895 and the subsequent application of X-rays for cancer treatment in 1896, the narrative unfolds through the advancements in radiation therapy modalities. The discussion covers External Beam Radiotherapy (EBRT), including various techniques like 3D-CRT, IMRT, IGRT, stereotactic radiotherapy, and proton therapy. Emerging technologies such as Tomotherapy, Stereotactic Radiosurgery (SRS), Boron Neutron Capture Therapy (BNCT), Carbon Ion Therapy, and Brachytherapy are explored, offering tailored approaches for different cancer types. The article delves into the history and advancements of brachytherapy, highlighting its techniques like intracavitary, interstitial, and HDR surface mould brachytherapy. The continuous pursuit of precision, efficacy, and reduced side effects in cancer treatment is evident throughout the narrative. The article emphasizes the crucial role of radiation therapy, employing various ionizing radiation types, in targeting and eradicating cancer cells while minimizing harm to normal cells. The ongoing quest for advancements in technology and techniques reflects the commitment to improving cancer treatment outcomes. This article provides a comprehensive overview of radiation therapy's historical evolution and current state in cancer treatment Keywords: Radiotherapy, EBRT, Brachytherapy, IMRT, SRS, IGRT, Proton therapy
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放射治疗的演变--简要回顾
本书从威廉-康拉德-伦琴于 1895 年发现 X 射线以及随后于 1896 年将 X 射线应用于癌症治疗开始,讲述了放射治疗模式的发展。讨论涉及体外放射治疗(EBRT),包括 3D-CRT 、IMRT 、IGRT 、立体定向放射治疗和质子治疗等各种技术。文章还探讨了断层放疗、立体定向放射外科(SRS)、硼中子俘获疗法(BNCT)、碳离子疗法和近距离放射治疗等新兴技术,为不同类型的癌症提供量身定制的治疗方法。文章深入探讨了近距离放射治疗的历史和进展,重点介绍了腔内、间质和 HDR 表面模近距离放射治疗等技术。文章通篇贯穿了对癌症治疗的精确性、有效性和减少副作用的不断追求。文章强调了放射治疗的关键作用,即利用各种类型的电离辐射,在靶向消灭癌细胞的同时,尽量减少对正常细胞的伤害。对技术和工艺进步的不断追求反映了对改善癌症治疗效果的承诺。本文全面概述了放射治疗在癌症治疗中的历史演变和现状:放射治疗、EBRT、近距离放射治疗、IMRT、SRS、IGRT、质子治疗
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