Adaptive Management of Bladder Cancer Radiotherapy

被引：41
|
作者：
Pos, Floris [1 ]
Remeijer, Peter [1 ]
机构：
[1] Antoni Van Leeuwenhoek Hosp, Netherlands Canc Inst, Dept Radiotherapy, NL-1066 CX Amsterdam, Netherlands
来源：
SEMINARS IN RADIATION ONCOLOGY | 2010年 / 20卷 / 02期
关键词：
IMAGE-GUIDED RADIOTHERAPY; PLANNING TARGET VOLUME; RADICAL RADIOTHERAPY; ORGAN MOTION; URINARY-BLADDER; PROSTATE; MARGINS; IMPACT; LOCALIZATION; FEASIBILITY;
D O I：
10.1016/j.semradonc.2009.11.005
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Recently, the bladder preserving potential of radiotherapy for invasive bladder cancer (bladder RT) has been recognized, and there is a renewed interest to improve bladder RT. The pivotal problem in bladder RT is caused by organ motion: without image-guided radiotherapy (IGRT), generous margins in the range of 2-3 cm have to be applied to account for organ motion, implying large treatment volumes and dose-limiting toxicity. IGRT has the potential to substantially reduce those margins, and thereby reduce treatment volumes. This review summarizes the literature on organ motion and IGRT for bladder cancer, and several bladder-specific problems and IGRT strategies are discussed. © 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码：116 / 120
页数：5
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