Facing the climate change: Is radiotherapy as green as we would like? A systematic review

IF 5.5 2区 医学 Q1 HEMATOLOGY Critical reviews in oncology/hematology Pub Date : 2024-09-06 DOI:10.1016/j.critrevonc.2024.104500
Stefania Volpe , Federico Mastroleo , Maria Giulia Vincini , Mattia Zaffaroni , Alice Porazzi , Ernesto Damiani , Giulia Marvaso , Barbara Alicja Jereczek-Fossa
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Abstract

Purpose

To focus on the ecological footprint of radiotherapy (RT), on opportunities for sustainable practices, on future research directions.

Methods

Different databases were interrogated using the following terms: Carbon Footprint, Sustainab*, Carbon Dioxide, Radiotherapy, and relative synonyms.

Results

931 records were retrieved; 15 reports were included in the review. Eight main thematic areas have been identified. Nine research works analyzed the environmental impact of photon-based external beam RT. Particle therapy was the subject of one work. Other thematic areas were brachytherapy, intra-operative RT, telemedicine, travel-related issues, and the impact of COVID-19.

Conclusion

This review demonstrates the strong interest in identifying novel strategies for a more environmentally friendly RT and serves as a clarion call to unveil the environmental impact of carbon footprints entwined with radiation therapy. Future research should address current gaps to guide the transition towards greener practices, reducing the environmental footprint and maintaining high-quality care.

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面对气候变化:放射治疗是否如我们所愿是绿色的?系统回顾。
目的:关注放射治疗(RT)的生态足迹、可持续实践的机会以及未来的研究方向:方法:使用以下术语查询不同的数据库:碳足迹、可持续*、二氧化碳、放射治疗以及相关同义词:结果:检索到 931 条记录;15 份报告被纳入审查范围。确定了八个主要专题领域。九项研究分析了基于光子的体外射束 RT 对环境的影响。粒子疗法是一项研究的主题。其他专题领域包括近距离放射治疗、术中 RT、远程医疗、旅行相关问题以及 COVID-19 的影响:本综述表明了人们对确定更环保的 RT 新策略的浓厚兴趣,也是揭示与放射治疗相关的碳足迹对环境影响的号角。未来的研究应解决目前存在的差距,以指导向更绿色的实践过渡,减少环境足迹,保持高质量的护理。
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来源期刊
CiteScore
11.00
自引率
3.20%
发文量
213
审稿时长
55 days
期刊介绍: Critical Reviews in Oncology/Hematology publishes scholarly, critical reviews in all fields of oncology and hematology written by experts from around the world. Critical Reviews in Oncology/Hematology is the Official Journal of the European School of Oncology (ESO) and the International Society of Liquid Biopsy.
期刊最新文献
Editorial Board Erratum to “Unleashing precision: A review of targeted approaches in pleural mesothelioma” [Crit. Rev. Oncol./Hematol. 203C (2024) 104481] Corrigendum to “The emerging HER2 landscape in Colorectal Cancer: The key to unveil the future treatment algorithm?” [Crit. Rev. Oncol./Hematol. 204 (2024) 104515] Corrigendum to “Navigating the complexity of PI3K/AKT pathway in HER-2 negative breast cancer: Biomarkers and beyond” [Crit. Rev. Oncol./Hematol. 200C (2024) 104404] Corrigendum to “Prevalence of treatment-related adverse events (TRAEs) with antibody-drug conjugates in metastatic breast cancer patients: A systematic review and meta-analysis” [Crit. Rev. Oncol./Hematol. 204 (2024) 104527]
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