Moving From the Background Toward the Spotlight: A Critical Review of Radiation Therapy for Locally Advanced Pancreas Cancer

IF 6.5 1区 医学 Q1 ONCOLOGY International Journal of Radiation Oncology Biology Physics Pub Date : 2025-06-01 Epub Date: 2025-03-01 DOI:10.1016/j.ijrobp.2025.02.022
Michael D. Chuong MD , Jonathan Ashman MD , Krishan Jethwa MD , Jordan Kharofa MD , Hyun Kim MD , Eugene Koay MD, PhD , Ethan Ludmir MD , Eric Miller MD, PhD , Bailey Nelson MD , Marsha Reyngold MD, PhD , Nina Sanford MD , Daniel Chang MD
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Abstract

Radiation therapy (RT) for locally advanced pancreatic cancer (LAPC) continues to be controversial. Advances in both systemic therapy and RT techniques have changed the landscape of LAPC management in recent years. Clinical outcomes of ablative RT have been encouraging, and randomized clinical trials may clarify the role of RT for LAPC. We present a contemporary critical review of key aspects regarding optimal patient selection, radiation dose escalation techniques, novel radiosensitizers and radioprotectors, and treatment response assessment for LAPC.
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从背景走向聚光灯:局部晚期胰腺癌放射治疗的重要回顾。
局部晚期胰腺癌(LAPC)的放射治疗仍然存在争议。近年来,全身治疗和放射治疗技术的进步改变了LAPC治疗的格局。消融放射治疗的临床结果令人鼓舞,随机临床试验可能阐明放射治疗在LAPC中的作用。我们提出了关于最佳患者选择、辐射剂量递增技术、新型放射增敏剂和放射防护剂以及LAPC治疗反应评估等关键方面的当代批判性综述。
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来源期刊
CiteScore
11.00
自引率
7.10%
发文量
2538
审稿时长
6.6 weeks
期刊介绍: International Journal of Radiation Oncology • Biology • Physics (IJROBP), known in the field as the Red Journal, publishes original laboratory and clinical investigations related to radiation oncology, radiation biology, medical physics, and both education and health policy as it relates to the field. This journal has a particular interest in original contributions of the following types: prospective clinical trials, outcomes research, and large database interrogation. In addition, it seeks reports of high-impact innovations in single or combined modality treatment, tumor sensitization, normal tissue protection (including both precision avoidance and pharmacologic means), brachytherapy, particle irradiation, and cancer imaging. Technical advances related to dosimetry and conformal radiation treatment planning are of interest, as are basic science studies investigating tumor physiology and the molecular biology underlying cancer and normal tissue radiation response.
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