Risk Adapted Ablative Radiotherapy After Intensive Chemotherapy for Locally Advanced Pancreatic Cancer.

SAbR SBRT (stereotactic body radiation therapy) ablative dose hypofractionated ablative radiation locally advanced pancreatic cancer

Journal

Frontiers in oncology
ISSN: 2234-943X
Titre abrégé: Front Oncol
Pays: Switzerland
ID NLM: 101568867

Informations de publication

Date de publication:
2021
Historique:
received: 31 01 2021
accepted: 16 03 2021
entrez: 7 5 2021
pubmed: 8 5 2021
medline: 8 5 2021
Statut: epublish

Résumé

To assess the efficacy of a Risk-Adapted Ablative Radiotherapy (RAdAR) approach, after intensive induction chemotherapy, in patients with locally advanced pancreatic cancer (LAPC). Patients with LAPC who received RAdAR following induction chemotherapy from January 2017 to December 2019 were included in this observational study. The RAdAR approach consisted of an anatomy- and simultaneous integrated boost (SIB)-based dose prescription strategy. RAdAR was delivered with stereotactic ablative radiation therapy (SAbR), administering 30 Gy in 5 fractions to the tumor volume (PTV Sixty-four LAPC patients were included. The RAdAR approach, following intensive induction chemotherapy, is an effective radiation treatment strategy for selected LAPC patients, representing a promising therapeutic option in a multimodality treatment regimen.

Sections du résumé

BACKGROUND AND OBJECTIVE OBJECTIVE
To assess the efficacy of a Risk-Adapted Ablative Radiotherapy (RAdAR) approach, after intensive induction chemotherapy, in patients with locally advanced pancreatic cancer (LAPC).
MATERIAL AND METHODS METHODS
Patients with LAPC who received RAdAR following induction chemotherapy from January 2017 to December 2019 were included in this observational study. The RAdAR approach consisted of an anatomy- and simultaneous integrated boost (SIB)-based dose prescription strategy. RAdAR was delivered with stereotactic ablative radiation therapy (SAbR), administering 30 Gy in 5 fractions to the tumor volume (PTV
RESULTS RESULTS
Sixty-four LAPC patients were included.
CONCLUSIONS CONCLUSIONS
The RAdAR approach, following intensive induction chemotherapy, is an effective radiation treatment strategy for selected LAPC patients, representing a promising therapeutic option in a multimodality treatment regimen.

Identifiants

pubmed: 33959509
doi: 10.3389/fonc.2021.662205
pmc: PMC8093383
doi:

Types de publication

Journal Article

Langues

eng

Pagination

662205

Informations de copyright

Copyright © 2021 Rossi, Simoni, Paiella, Rossi, Venezia, Micera, Malleo, Salvia, Giuliani, Di Gioia, Auriemma, Milella, Guariglia, Cavedon, Bassi and Mazzarotto.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Gabriella Rossi (G)

Department of Radiation Oncology, University of Verona Hospital Trust, Verona, Italy.

Nicola Simoni (N)

Department of Radiation Oncology, University of Verona Hospital Trust, Verona, Italy.

Salvatore Paiella (S)

Department of General and Pancreatic Surgery, Pancreas Institute, University of Verona Hospital Trust, Verona, Italy.

Roberto Rossi (R)

Department of Radiation Oncology, University of Verona Hospital Trust, Verona, Italy.

Martina Venezia (M)

Department of Radiation Oncology, University of Verona Hospital Trust, Verona, Italy.

Renato Micera (R)

Department of Radiation Oncology, University of Verona Hospital Trust, Verona, Italy.

Giuseppe Malleo (G)

Department of General and Pancreatic Surgery, Pancreas Institute, University of Verona Hospital Trust, Verona, Italy.

Roberto Salvia (R)

Department of General and Pancreatic Surgery, Pancreas Institute, University of Verona Hospital Trust, Verona, Italy.

Tommaso Giuliani (T)

Department of General and Pancreatic Surgery, Pancreas Institute, University of Verona Hospital Trust, Verona, Italy.

Anthony Di Gioia (A)

Department of General and Pancreatic Surgery, Pancreas Institute, University of Verona Hospital Trust, Verona, Italy.

Alessandra Auriemma (A)

Department of Oncology, Pancreas Institute, University of Verona Hospital Trust, Verona, Italy.

Michele Milella (M)

Department of Oncology, Pancreas Institute, University of Verona Hospital Trust, Verona, Italy.

Stefania Guariglia (S)

Department of Medical Physics, University of Verona Hospital Trust, Verona, Italy.

Carlo Cavedon (C)

Department of Medical Physics, University of Verona Hospital Trust, Verona, Italy.

Claudio Bassi (C)

Department of General and Pancreatic Surgery, Pancreas Institute, University of Verona Hospital Trust, Verona, Italy.

Renzo Mazzarotto (R)

Department of Radiation Oncology, University of Verona Hospital Trust, Verona, Italy.

Classifications MeSH