Basics and Frontiers on Pancreatic Cancer for Radiation Oncology: Target Delineation, SBRT, SIB technique, MRgRT, Particle Therapy, Immunotherapy and Clinical Guidelines.

CTV MR guided RT SBRT SIB guidelines immunotherapy pancreatic cancer protons radiotherapy review

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
29 Jun 2020
Historique:
received: 26 04 2020
revised: 11 06 2020
accepted: 17 06 2020
entrez: 3 7 2020
pubmed: 3 7 2020
medline: 3 7 2020
Statut: epublish

Résumé

Pancreatic cancer represents a modern oncological urgency. Its management is aimed to both distal and local disease control. Resectability is the cornerstone of treatment aim. It influences the clinical presentation's definitions as up-front resectable, borderline resectable and locally advanced (unresectable). The main treatment categories are neoadjuvant (preoperative), definitive and adjuvant (postoperative). This review will focus on i) the current indications by the available national and international guidelines; ii) the current standard indications for target volume delineation in radiotherapy (RT); iii) the emerging modern technologies (including particle therapy and Magnetic Resonance [MR]-guided-RT); iv) stereotactic body radiotherapy (SBRT), as the most promising technical delivery application of RT in this framework; v) a particularly promising dose delivery technique called simultaneous integrated boost (SIB); and vi) a multimodal integration opportunity: the combination of RT with immunotherapy.

Identifiants

pubmed: 32610592
pii: cancers12071729
doi: 10.3390/cancers12071729
pmc: PMC7407382
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Déclaration de conflit d'intérêts

Siegel, R.L.; Miller, K.D.; Jemal, A. Cancer statistics, 2019. CA Cancer J. Clin. 2019, 69, 7–34, doi:10.3322/caac.21551.

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Auteurs

Francesco Cellini (F)

Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, UOC di Radioterapia Oncologica, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, 00168 Roma, Italy.

Alessandra Arcelli (A)

Radiation Oncology Center, Department of Experimental, Diagnostic and Specialty Medicine-DIMES, University of Bologna, S. Orsola-Malpighi Hospital, 40138 Bologna, Italy.

Nicola Simoni (N)

Radiotherapy Unit, Azienda Ospedaliera Universitaria, 37126 Verona, Italy.

Luciana Caravatta (L)

Department of Radiation Oncology, SS. Annunziata Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100 Chieti, Italy.

Milly Buwenge (M)

Radiation Oncology Center, Department of Experimental, Diagnostic and Specialty Medicine-DIMES, University of Bologna, S. Orsola-Malpighi Hospital, 40138 Bologna, Italy.

Angela Calabrese (A)

Radiology Unit-IRCCS Istituto Tumori "Giovanni Paolo II" of Bari, 70124 Bari, Italy.

Oronzo Brunetti (O)

Medical Oncology Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Viale Orazio Flacco, 65, 70124 Bari, Italy.

Domenico Genovesi (D)

Department of Radiation Oncology, SS. Annunziata Hospital, "G. D'Annunzio" University, Via Dei Vestini, 66100 Chieti, Italy.
Department of Neuroscience, Imaging and Clinical Sciences, "G. D'Annunzio" University, 66100 Chieti, Italy.

Renzo Mazzarotto (R)

Radiotherapy Unit, Azienda Ospedaliera Universitaria, 37126 Verona, Italy.

Francesco Deodato (F)

Istituto di Radiologia, Università Cattolica del Sacro Cuore, 00168 Roma, Italy.
Radiotherapy Unit, Gemelli Molise Hospital, 86100 Campobasso, Italy.

Gian Carlo Mattiucci (GC)

Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, UOC di Radioterapia Oncologica, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, 00168 Roma, Italy.
Istituto di Radiologia, Università Cattolica del Sacro Cuore, 00168 Roma, Italy.

Nicola Silvestris (N)

IRCCS Istituto Tumori "Giovanni Paolo II" of Bari, 70124 Bari, Italy.
Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", 70124 Bari, Italy.

Vincenzo Valentini (V)

Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, UOC di Radioterapia Oncologica, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, 00168 Roma, Italy.
Istituto di Radiologia, Università Cattolica del Sacro Cuore, 00168 Roma, Italy.

Alessio Giuseppe Morganti (AG)

Radiation Oncology Center, Department of Experimental, Diagnostic and Specialty Medicine-DIMES, University of Bologna, S. Orsola-Malpighi Hospital, 40138 Bologna, Italy.

Classifications MeSH