Is there any benefit to particles over photon radiotherapy?

cancer carbon ion beam hadron particles radiotherapy proton

Journal

Ecancermedicalscience
ISSN: 1754-6605
Titre abrégé: Ecancermedicalscience
Pays: England
ID NLM: 101392236

Informations de publication

Date de publication:
2019
Historique:
received: 29 09 2019
entrez: 4 2 2020
pubmed: 6 2 2020
medline: 6 2 2020
Statut: epublish

Résumé

Particle, essentially, proton radiotherapy (RT) could provide some benefits over photon RT, especially in reducing the side effects of RT. We performed a systematic review to identify the performed randomised clinical trials (RCTs) and ongoing RCTs comparing particle RT with photon therapy. So far, there are no results available from phase 3 RCTs comparing particle RT with photon therapy. Furthermore, the results on side effects comparing proton and carbon ion beam RT with photon RT do vary. The introduction of new techniques in photon RT, such as image-guided RT (IGRT), intensity-modulated RT (IMRT), volumetric arc therapy (VMAT) and stereotactic body RT (SBRT) was already effective in reducing side effects. At present, the lack of evidence limits the indications for proton and carbon ion beam RTs and makes the particle RT still experimental.

Identifiants

pubmed: 32010206
doi: 10.3332/ecancer.2019.982
pii: can-13-982
pmc: PMC6974365
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

982

Informations de copyright

© the authors; licensee ecancermedicalscience.

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest.

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Auteurs

Maria E Goossens (ME)

Cancer Centre, Sciensano (Scientific Institute of Public Health), 1050 Brussels, Belgium.

Marc Van den Bulcke (M)

Cancer Centre, Sciensano (Scientific Institute of Public Health), 1050 Brussels, Belgium.

Thierry Gevaert (T)

Department of Radiotherapy, University Hospital Brussels, Vrije Universiteit Brussel, 1050 Brussel, Belgium.

Lydie Meheus (L)

The Anticancer Fund, Reliable Cancer Therapies, Strombeek-Bever, 1853, Belgium.

Dirk Verellen (D)

Department of Radiotherapy, University Hospital Brussels, Vrije Universiteit Brussel, 1050 Brussel, Belgium.
Iridium Kankernetwerk Antwerp, Belgium.
Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, 1050 Brussel, Belgium.

Jean-Marc Cosset (JM)

Centre de Radiothérapie Charlebourg, Groupe Amethyst, 65, Avenue Foch, 92250 La Garenne-Colombes, France.

Guy Storme (G)

Department of Radiotherapy, University Hospital Brussels, Vrije Universiteit Brussel, 1050 Brussel, Belgium.

Classifications MeSH