Journal of Radiation Research最新文献

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Radiation medicine from the perspective of radiation disaster medical science research. 从辐射灾难医学科学研究的角度看辐射医学。
IF 1.9 4区 医学
Journal of Radiation Research Pub Date : 2024-12-16 DOI: 10.1093/jrr/rrae085
Satoshi Tashiro
{"title":"Radiation medicine from the perspective of radiation disaster medical science research.","authors":"Satoshi Tashiro","doi":"10.1093/jrr/rrae085","DOIUrl":"10.1093/jrr/rrae085","url":null,"abstract":"","PeriodicalId":16922,"journal":{"name":"Journal of Radiation Research","volume":"65 Supplement_1","pages":"i1"},"PeriodicalIF":1.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Fusobacterium nucleatum in the treatment of cancer, including radiotherapy and its future potential in esophageal cancer. 核酸分枝杆菌在癌症治疗(包括放射治疗)中的影响及其在食道癌中的未来潜力。
IF 1.9 4区 医学
Journal of Radiation Research Pub Date : 2024-12-16 DOI: 10.1093/jrr/rrae061
Manato Ohsawa, Hiromi Nishi, Manabu Emi, Toru Yoshikawa, Yoichi Hamai, Yuta Ibuki, Tomoaki Kurokawa, Ryosuke Hirohata, Nao Kitasaki, Miki Kawada-Matsuo, Hitoshi Komatsuzawa, Hiroyuki Kawaguchi, Morihito Okada
{"title":"Impact of Fusobacterium nucleatum in the treatment of cancer, including radiotherapy and its future potential in esophageal cancer.","authors":"Manato Ohsawa, Hiromi Nishi, Manabu Emi, Toru Yoshikawa, Yoichi Hamai, Yuta Ibuki, Tomoaki Kurokawa, Ryosuke Hirohata, Nao Kitasaki, Miki Kawada-Matsuo, Hitoshi Komatsuzawa, Hiroyuki Kawaguchi, Morihito Okada","doi":"10.1093/jrr/rrae061","DOIUrl":"10.1093/jrr/rrae061","url":null,"abstract":"<p><p>Despite advances in multimodality therapy, including surgery, chemotherapy, radiation therapy and chemoradiation, the fatality rate for esophageal cancer remains high. Specifically, Fusobacterium nucleatum, due to its aggregation capacity, has shown a tendency to form biofilms. The biofilm-forming capabilities of microbial communities are of utmost importance in the context of cancer treatment, as they have been shown to drive significant losses in the efficaciousness of various cancer treatments. Therefore, elucidating the dynamics of F. nucleatum will be important for the development of effective treatments for esophageal cancer. Therefore, this review summarizes the current knowledge of F. nucleatum, its involvement in cancer and its impact on chemotherapy and radiation therapy. In conclusion, further research on the role of F. nucleatum is essential for the continued advancement of the treatment of esophageal cancer and patient care.</p>","PeriodicalId":16922,"journal":{"name":"Journal of Radiation Research","volume":"65 Supplement_1","pages":"i126-i134"},"PeriodicalIF":1.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Observations of educational tourism utilizing dark tourism-emphasizing human interactions within recovering communities. 观察利用黑暗旅游的教育旅游--强调恢复社区内的人际互动。
IF 1.9 4区 医学
Journal of Radiation Research Pub Date : 2024-12-16 DOI: 10.1093/jrr/rrae022
William D Y McMichael
{"title":"Observations of educational tourism utilizing dark tourism-emphasizing human interactions within recovering communities.","authors":"William D Y McMichael","doi":"10.1093/jrr/rrae022","DOIUrl":"10.1093/jrr/rrae022","url":null,"abstract":"<p><p>As Fukushima grapples with ongoing challenges related to reputational damage, it is becoming increasingly imperative to establish an effective means for global audiences to access, comprehend, and support the region's recovery efforts. To achieve this, Fukushima Prefecture has been strategically organizing educational tours tailored for international visitors, operating under the umbrella of ``Hope Tourism.'' These tours aim to bring about positive change by dispelling negative perceptions, offering a nuanced understanding of Fukushima's ongoing revitalization, and fostering connections between visitors and local residents. This study aims to contribute to the understanding of such tourism by providing an overview of Hope Tourism and addressing the reputational challenges faced by the prefecture. It will illustrate how experiences in Dark Tourism can effectively reshape a region's place identity, and serve as a proactive measure to alter perceptions of visitors to disaster-affected communities. Additionally, the study will analyze the learning outcomes of Hope Tourism experiences through the Fukushima Ambassadors Program, a short-term study abroad initiative provided by Fukushima University since 2012, which incorporates elements of Dark Tourism. Through these analyses, this study seeks to offer insights into the potential of educational tourism as a tool for fostering global support and understanding in the face of reputational challenges.</p>","PeriodicalId":16922,"journal":{"name":"Journal of Radiation Research","volume":"65 Supplement_1","pages":"i15-i23"},"PeriodicalIF":1.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What can we learn from high background radiation area (HBRA) studies in three Asian countries: India, China and Indonesia? Radiological aspects in various HBRAs. 我们可以从印度、中国和印度尼西亚这三个亚洲国家的高本底辐射区(HBRA)研究中学到什么?各种hbra的放射学方面。
IF 1.9 4区 医学
Journal of Radiation Research Pub Date : 2024-12-16 DOI: 10.1093/jrr/rrae032
Chutima Kranrod, Hiromi Kudo, Shinji Tokonami
{"title":"What can we learn from high background radiation area (HBRA) studies in three Asian countries: India, China and Indonesia? Radiological aspects in various HBRAs.","authors":"Chutima Kranrod, Hiromi Kudo, Shinji Tokonami","doi":"10.1093/jrr/rrae032","DOIUrl":"10.1093/jrr/rrae032","url":null,"abstract":"<p><p>Radiation is a pervasive natural phenomenon that has been present on earth since its inception. However, exposure to high background radiation levels can pose significant health risks to individuals living in affected areas. In recent years, several studies have been conducted in high background radiation areas (HBRAs), including high radon concentration areas, to understand the radiological aspects and the lessons learned of radiation exposure. The purpose of this article is to provide a comprehensive review of radiological hazards and lessons learned from studies in high-background radiation areas in some countries of Asia (India, China and Indonesia). In this article, we will explore the hazards associated with radiation exposure from terrestrial radiation and additionally radon inhalation, the different studies conducted in HBRA and the lessons learned from these studies. Ultimately, this article aims to provide a better understanding of the radiological aspects of HBRAs and to identify the key lessons learned from previous studies to prevent future health risks. Likewise, research conducted in different high-background radiation areas in some countries of Asia has provided valuable insights into the radiological aspects of these areas and their potential impact on human health.</p>","PeriodicalId":16922,"journal":{"name":"Journal of Radiation Research","volume":"65 Supplement_1","pages":"i32-i41"},"PeriodicalIF":1.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The summary of risk response on radioactive substances contained in food items in the aftermath of the Fukushima nuclear accident. 福岛核事故后对食品中所含放射性物质的风险应对总结。
IF 1.9 4区 医学
Journal of Radiation Research Pub Date : 2024-12-16 DOI: 10.1093/jrr/rrae020
Naomi Hayashida, Itsuko Horiguchi
{"title":"The summary of risk response on radioactive substances contained in food items in the aftermath of the Fukushima nuclear accident.","authors":"Naomi Hayashida, Itsuko Horiguchi","doi":"10.1093/jrr/rrae020","DOIUrl":"10.1093/jrr/rrae020","url":null,"abstract":"<p><p>The Fukushima Daiichi nuclear power plant accident occurred after the Great East Japan Earthquake on 11 March 2011. The regulations for food items contaminated with radioiodine or radioactive cesium were introduced immediately after the accident by establishing a tentative limit for the contamination level. These regulations excluded or minimized the excessive internal radiation exposure in Japan. Subsequently, the Food Safety Commission of the Japanese Cabinet Office established based on the Food Safety Basic Act evaluated the influence of food items on human health, and the information was reviewed to establish finalized reference values according to the Food Sanitation Act. This study aimed to compile a summary from published sources to examine the risk analysis conducted by the Japanese government over 5 years since the disaster occurred, which was carried out to prevent internal exposure to radioactive substances in food. Findings revealed that items exceeding the reference value were mostly found in the item group not under cultivation/feeding management. In addition, the risk management measures to prevent internal exposure to radioactive substances in food have proven to be effective.</p>","PeriodicalId":16922,"journal":{"name":"Journal of Radiation Research","volume":"65 Supplement_1","pages":"i97-i105"},"PeriodicalIF":1.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Difficulties faced by three hospitals evacuated from the urgent protective action planning zone after the 2011 Fukushima Daiichi Nuclear power plant accident. 2011 年福岛第一核电站事故后,从紧急保护行动规划区撤离的三家医院面临的困难。
IF 1.9 4区 医学
Journal of Radiation Research Pub Date : 2024-12-16 DOI: 10.1093/jrr/rrae015
Saori Nonaka, Toyoaki Sawano, Tomoyoshi Oikawa, Michio Murakami, Akihiko Ozaki, Tianchen Zhao, Makoto Yoshida, Chika Yamamoto, Masaharu Tsubokura
{"title":"Difficulties faced by three hospitals evacuated from the urgent protective action planning zone after the 2011 Fukushima Daiichi Nuclear power plant accident.","authors":"Saori Nonaka, Toyoaki Sawano, Tomoyoshi Oikawa, Michio Murakami, Akihiko Ozaki, Tianchen Zhao, Makoto Yoshida, Chika Yamamoto, Masaharu Tsubokura","doi":"10.1093/jrr/rrae015","DOIUrl":"10.1093/jrr/rrae015","url":null,"abstract":"<p><p>In radiological disasters, evacuating institutionalized individuals such as hospitalized patients and nursing home residents presents complex challenges. The Fukushima Daiichi Nuclear power plant (FDNPP) accident, triggered by the Great East Japan Earthquake (GEJE), exposed critical issues in evacuation planning. This case series investigates the evacuation difficulties encountered by three hospitals situated 20 to 30 km from the FDNPP following the GEJE and FDNPP accident. Data collection involved reviewing records, stakeholder interviews and analyzing publicly available resources. Six key challenges emerged: acute phase influx-hospitals faced an abrupt surge in patients, including trauma victims and vulnerable individuals; initial discharge and transfers-coordinating patient discharges and transfers during the chaotic aftermath proved daunting; staff shortages-evacuation and personal factors lead to reduced staffing levels and strained hospital capabilities; infrastructure damage and logistics suspension-infrastructure issues, such as burst water pipes, halted gas supplies, and heavy oil shortage disrupted hospital operations; unclear evacuation criteria-ad hoc evacuation decisions underscored the lack of clear criteria; and limited preparation time-minimal preparation time hindered communication and planning. These findings underscore the need for robust disaster planning, resource management, and communication strategies to ensure the safety of patients and staff during radiological emergencies. Government interventions, early patient discharge, and improved medical record communication may alleviate the burden of evacuation. The lessons learned emphasize the importance of maintaining hospital functions in disaster-prone areas, particularly for vulnerable populations, and highlight the necessity for comprehensive community-wide disaster prevention planning.</p>","PeriodicalId":16922,"journal":{"name":"Journal of Radiation Research","volume":"65 Supplement_1","pages":"i67-i79"},"PeriodicalIF":1.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cell-based and extracellular vesicle-based MSC therapies for acute radiation syndrome affecting organ systems. 基于细胞和细胞外囊泡的间充质干细胞疗法治疗影响器官系统的急性辐射综合征。
IF 1.9 4区 医学
Journal of Radiation Research Pub Date : 2024-12-16 DOI: 10.1093/jrr/rrae009
Yasuo Miura, Sumie Fujii, Tatsuo Ichinohe
{"title":"Cell-based and extracellular vesicle-based MSC therapies for acute radiation syndrome affecting organ systems.","authors":"Yasuo Miura, Sumie Fujii, Tatsuo Ichinohe","doi":"10.1093/jrr/rrae009","DOIUrl":"10.1093/jrr/rrae009","url":null,"abstract":"<p><p>Exposure to ionizing radiation can induce harmful biological effects on the human body, particularly in cases of high-dose γ-irradiation affecting the gastrointestinal tract, bone marrow, skin and lung. Such exposures lead to lethal outcomes as individuals experience a breakdown in their immune system's ability to defend against pathogens, predisposing them to sepsis-induced multiple organ failures. Mesenchymal stromal/stem cells (MSCs) possess diverse biological characteristics, including immunomodulation, anti-inflammation and tissue regeneration. Off-the-shelf culture-expanded human bone marrow- or adipose tissue-derived MSCs are clinically available to treat graft-versus-host disease following hematopoietic cell transplantation and perianal fistulas in Crohn's disease in Japan. While preclinical studies showcase encouraging outcomes in radiation-induced injuries, the effectiveness of MSC transplantation in addressing acute radiation syndrome affecting organs in irradiated individuals is limited. Recent studies have highlighted MSC-releasing extracellular vesicles as nanoparticle substances responsible for outlining the mechanism of action and have identified various components, including proteins and microRNA, that serve as functional molecules. MSC-releasing extracellular vesicle-based therapy emerges as a promising avenue, offering a potential solution to the challenges posed by radiation-induced injuries. However, further investigation is required, especially regarding whether MSC-releasing extracellular vesicles have regenerative effects on tissue-resident stem cells. These unresolved issues represent key aspects that need to be addressed to optimize the therapeutic potential of cell-based and extracellular vesicle-based MSC therapies for interventions in the context of radiation-induced injuries.</p>","PeriodicalId":16922,"journal":{"name":"Journal of Radiation Research","volume":"65 Supplement_1","pages":"i80-i87"},"PeriodicalIF":1.9,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Myelodysplastic syndromes among atomic bomb survivors in Nagasaki: similarities to and differences from de novo and therapy-related cases. 长崎原子弹爆炸幸存者骨髓增生异常综合征:与新发病例和治疗相关病例的异同。
IF 1.9 4区 医学
Journal of Radiation Research Pub Date : 2024-12-15 DOI: 10.1093/jrr/rrae003
Koji Ando, Yasushi Miyazaki
{"title":"Myelodysplastic syndromes among atomic bomb survivors in Nagasaki: similarities to and differences from de novo and therapy-related cases.","authors":"Koji Ando, Yasushi Miyazaki","doi":"10.1093/jrr/rrae003","DOIUrl":"10.1093/jrr/rrae003","url":null,"abstract":"<p><p>Epidemiological studies for atomic bomb (A-bomb) survivors clearly demonstrated that A-bomb radiation increased the risk of hematological neoplasms, such as acute and chronic leukemia, and myelodysplastic syndromes (MDS) among survivors. Several studies on MDS among survivors investigated its characteristics, and it seems that MDS among survivors has different features from those seen in de novo MDS and therapy-related MDS. In this short review, we describe the differences of clinical features, chromosomal alterations and genome aberrations among them.</p>","PeriodicalId":16922,"journal":{"name":"Journal of Radiation Research","volume":"65 Supplement_1","pages":"i88-i96"},"PeriodicalIF":1.9,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A simulation study of MR-guided proton therapy system using iron-yoked superconducting open MRI: a conceptual study. 使用铁轭超导开放式磁共振成像的磁共振引导质子治疗系统模拟研究:概念研究。
IF 1.9 4区 医学
Journal of Radiation Research Pub Date : 2024-12-03 DOI: 10.1093/jrr/rrae075
Yusuke Fujii, Hideaki Ueda, Taisuke Takayanagi, Kentaro Nishioka, Takashi Mori, Takayuki Hashimoto, Hidefumi Aoyama, Kikuo Umegaki, Taeko Matsuura
{"title":"A simulation study of MR-guided proton therapy system using iron-yoked superconducting open MRI: a conceptual study.","authors":"Yusuke Fujii, Hideaki Ueda, Taisuke Takayanagi, Kentaro Nishioka, Takashi Mori, Takayuki Hashimoto, Hidefumi Aoyama, Kikuo Umegaki, Taeko Matsuura","doi":"10.1093/jrr/rrae075","DOIUrl":"10.1093/jrr/rrae075","url":null,"abstract":"<p><p>Radiotherapy platforms integrated with magnetic resonance imaging (MRI) have been significantly successful and widely used in X-ray therapy over the previous decade. MRI provides greater soft-tissue contrast than conventional X-ray techniques, which enables more precise radiotherapy with on-couch adaptive treatment planning and direct tracking of moving tumors. The integration of MRI into a proton beam irradiation system (PBS) is still in the research stage. However, this could be beneficial as proton therapy is more sensitive to anatomical changes and organ motion. In this simulation study, we considered the integration of PBS into the 0.3-T superconducting open MRI system. Our proposed design involves proton beams traversing a hole at the center of the iron yoke, which allows for a reduced fringe field in the irradiation nozzle while maintaining a large proton scan field of the current PBS. The shape of the bipolar MRI magnets was derived to achieve a large MRI field-of-view. To monitor the beam position and size accurately while maintaining a small beam size, the beam monitor installation was redesigned from the current system. The feasibility of this system was then demonstrated by the treatment plan quality, which showed that the magnetic field did not deteriorate the plan quality from that without the magnetic field for both a rectangular target and a prostate case. Although numerous challenges remain before the proposed simulation model can be implemented in a clinical setting, the presented conceptual design could assist in the initial design for the realization of the MR-guided proton therapy.</p>","PeriodicalId":16922,"journal":{"name":"Journal of Radiation Research","volume":" ","pages":"824-835"},"PeriodicalIF":1.9,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142375601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical efficacy and safety of neoadjuvant chemotherapy with paclitaxel and cisplatin in combination with concurrent chemoradiotherapy for locally advanced cervical cancer: a systematic review and meta-analysis. 紫杉醇和顺铂新辅助化疗联合同期化放疗治疗局部晚期宫颈癌的临床疗效和安全性:系统综述和荟萃分析。
IF 1.9 4区 医学
Journal of Radiation Research Pub Date : 2024-12-03 DOI: 10.1093/jrr/rrae073
Penpa Yeshe, Fang Li
{"title":"Clinical efficacy and safety of neoadjuvant chemotherapy with paclitaxel and cisplatin in combination with concurrent chemoradiotherapy for locally advanced cervical cancer: a systematic review and meta-analysis.","authors":"Penpa Yeshe, Fang Li","doi":"10.1093/jrr/rrae073","DOIUrl":"10.1093/jrr/rrae073","url":null,"abstract":"<p><p>The meta-analysis was to evaluate the therapeutic benefits of neoadjuvant chemotherapy (NACT), primarily consisting of platinum-based regimens in conjunction with paclitaxel, when integrated with concurrent chemoradiotherapy (CCRT) for individuals afflicted with locally advanced cervical cancer (LACC). The outcomes were determined by overall survival (OS), progression-free survival (PFS), complete response rate (CRR), objective response rate, recurrence rate and adverse events. The assessment of these outcomes was based on the relative risk (RR) accompanied by its 95% confidence interval (CI). Eight articles were included for analysis. LACC patients who underwent treatment with paclitaxel combined with cisplatin (TP)-based NACT in conjunction with CCRT demonstrated improved OS at 2 (RR: 1.11, 95% CI: 1.07, 1.16, P < 0.001), 3 (RR: 1.30, 95% CI: 1.23, 1.37, P < 0.001) and 5 years (RR: 1.20, 95% CI: 1.10, 1.32, P < 0.001), as well as PFS at 1 (RR: 1.03, 95% CI: 1.00, 1.06, P = 0.035), 2 (RR: 1.21, 95% CI: 1.04, 1.40, P = 0.012), 3 (RR: 1.26, 95% CI: 1.17, 1.34, P < 0.001) and 5 (RR: 1.39, 95% CI: 1.25, 1.55, P < 0.001) years, when compared with patients who received CCRT alone. Moreover, the TP-based NACT in conjunction with CCRT achieved a higher CRR and exhibited a lower rate of disease recurrence (RR:1.28, 95% CI:1.08, 1.50, P = 0.003). No significant differences in the risk of adverse effects including anemia, leukopenia, thrombocytopenia, radiocystitis and radiation enteritis between the group treated with TP-based NACT combined with CCRT and the group treated with CCRT alone were observed. The combination of TP-based NACT and CCRT demonstrates superior clinical efficacy than CCRT alone. This study may contribute to reducing the burden of LACC by using TP-based NACT plus CCRT.</p>","PeriodicalId":16922,"journal":{"name":"Journal of Radiation Research","volume":" ","pages":"733-743"},"PeriodicalIF":1.9,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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