Strahlentherapie und Onkologie最新文献

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Correction to: DEGRO consensus framework for undergraduate radiation therapy teaching in Germany: a white paper with integrated guidance on artificial intelligence in medical education. 修正:德国本科放射治疗教学DEGRO共识框架:医学教育人工智能综合指导白皮书。
IF 2.8 3区 医学
Strahlentherapie und Onkologie Pub Date : 2026-09-04 DOI: 10.1007/s00066-026-02603-3
Philipp Linde, Biney Pal Singh, Maria Neu, Johannes Gollrad, Martin Bischoff, Gustavo R Sarria, Annett Linge, Nanna E Wielenberg, Anna-Lena Hillebrecht, Laura Höng, Martin Leu, Jörg Andreas Müller, Lukas Fabian Boehme, Anne Caroline Knöchelmann, Jan-Niklas Becker, Klaus Herfarth, Sonia Drozdz, Matthias Mäurer, Ina Patties, Daniel Fleischmann, Daniel Schmottermeyer, Alexander Fabian, Bernd Frerker, Sebastian Heß, Michael Oertel, Hendrik Dapper
{"title":"Correction to: DEGRO consensus framework for undergraduate radiation therapy teaching in Germany: a white paper with integrated guidance on artificial intelligence in medical education.","authors":"Philipp Linde, Biney Pal Singh, Maria Neu, Johannes Gollrad, Martin Bischoff, Gustavo R Sarria, Annett Linge, Nanna E Wielenberg, Anna-Lena Hillebrecht, Laura Höng, Martin Leu, Jörg Andreas Müller, Lukas Fabian Boehme, Anne Caroline Knöchelmann, Jan-Niklas Becker, Klaus Herfarth, Sonia Drozdz, Matthias Mäurer, Ina Patties, Daniel Fleischmann, Daniel Schmottermeyer, Alexander Fabian, Bernd Frerker, Sebastian Heß, Michael Oertel, Hendrik Dapper","doi":"10.1007/s00066-026-02603-3","DOIUrl":"https://doi.org/10.1007/s00066-026-02603-3","url":null,"abstract":"","PeriodicalId":21998,"journal":{"name":"Strahlentherapie und Onkologie","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Evolution of metastases in non-small-cell lung cancer: preliminary results from the TRACERx-PEACE study]. [非小细胞肺癌转移的演变:来自TRACERx-PEACE研究的初步结果]。
IF 2.8 3区 医学
Strahlentherapie und Onkologie Pub Date : 2026-09-01 Epub Date: 2026-06-26 DOI: 10.1007/s00066-026-02568-3
Jürgen Dunst
{"title":"[Evolution of metastases in non-small-cell lung cancer: preliminary results from the TRACERx-PEACE study].","authors":"Jürgen Dunst","doi":"10.1007/s00066-026-02568-3","DOIUrl":"10.1007/s00066-026-02568-3","url":null,"abstract":"","PeriodicalId":21998,"journal":{"name":"Strahlentherapie und Onkologie","volume":" ","pages":"1001-1002"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Pre- versus postoperative stereotactic radiotherapy for brain metastases]. 脑转移瘤的术前与术后立体定向放疗。
IF 2.8 3区 医学
Strahlentherapie und Onkologie Pub Date : 2026-09-01 Epub Date: 2026-07-27 DOI: 10.1007/s00066-026-02566-5
Paul Jan Warnke, Eirini Moysolgou, Olaf Wittenstein
{"title":"[Pre- versus postoperative stereotactic radiotherapy for brain metastases].","authors":"Paul Jan Warnke, Eirini Moysolgou, Olaf Wittenstein","doi":"10.1007/s00066-026-02566-5","DOIUrl":"10.1007/s00066-026-02566-5","url":null,"abstract":"","PeriodicalId":21998,"journal":{"name":"Strahlentherapie und Onkologie","volume":" ","pages":"995-997"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical target volume radiomics from planning CT for pretreatment response prediction  in rectal cancer undergoing chemoradiotherapy. 规划CT的临床靶体积放射组学用于直肠癌放化疗前疗效预测。
IF 2.8 3区 医学
Strahlentherapie und Onkologie Pub Date : 2026-09-01 Epub Date: 2026-07-17 DOI: 10.1007/s00066-026-02569-2
Yen-Cho Huang, Shih-Ming Huang, Jih-Hsiang Yeh, Shu-Ju Tu
{"title":"Clinical target volume radiomics from planning CT for pretreatment response prediction  in rectal cancer undergoing chemoradiotherapy.","authors":"Yen-Cho Huang, Shih-Ming Huang, Jih-Hsiang Yeh, Shu-Ju Tu","doi":"10.1007/s00066-026-02569-2","DOIUrl":"10.1007/s00066-026-02569-2","url":null,"abstract":"<p><strong>Purpose: </strong>Response to neoadjuvant chemoradiotherapy (nCRT) in rectal cancer remains heterogeneous. This exploratory study evaluated whether radiomics features extracted from the clinical target volume (CTV) on pretreatment non-contrast radiotherapy planning CT could provide additional information for pretreatment prediction of poor treatment response.</p><p><strong>Methods: </strong>This retrospective single-center study included 60 patients with rectal cancer treated with nCRT between 2008 and 2024, including 50 good responders and 10 poor responders. A total of 1148 radiomics features were extracted from the original pretreatment treatment-planning CTV and combined with clinical variables, including age, sex, cT stage, cN stage, log-transformed carcinoembryonic antigen, and tumor-to-anal verge distance. Models were internally evaluated using repeated nested cross-validation with fold-wise ComBat harmonization. Performance was assessed from pooled repeated out-of-fold predictions, including discrimination, apparent calibration, exploratory threshold-based operating characteristics, and decision curve analysis.</p><p><strong>Results: </strong>The best-performing combined clinical-radiomics model was Extra Trees, with an area under the receiver operating characteristic curve of 0.754 (95% confidence interval [CI], 0.713-0.789), compared with 0.507 for the clinical-only model. At a post hoc sensitivity-prioritized operating threshold, the combined Extra Trees model achieved sensitivity of 0.94 (95% CI, 0.89-0.98), specificity of 0.47 (95% CI, 0.42-0.51), and negative predictive value of 0.98 in pooled repeated out-of-fold analysis. Decision curve analysis suggested potential net benefit across low-to-moderate threshold probabilities in internal analysis.</p><p><strong>Conclusion: </strong>Clinical target volume-based radiomics from routine pretreatment non-contrast planning CT may provide exploratory information for prediction of poor response to nCRT in rectal cancer. Because treatment-planning CTVs are routinely generated before radiotherapy, this workflow may be practical for radiotherapy-based research. The findings are hypothesis generating and require external validation before clinical use.</p>","PeriodicalId":21998,"journal":{"name":"Strahlentherapie und Onkologie","volume":" ","pages":"954-967"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148472906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Individualized radiotherapy of bone metastases from prostate cancer: time trends and 5-year survival results. 前列腺癌骨转移的个体化放疗:时间趋势和5年生存结果。
IF 2.8 3区 医学
Strahlentherapie und Onkologie Pub Date : 2026-09-01 Epub Date: 2026-06-25 DOI: 10.1007/s00066-026-02560-x
Carsten Nieder, Luka Stanisavljevic, Ellinor C Haukland, Bård Mannsåker, Bence Fajth, Astrid Dalhaug
{"title":"Individualized radiotherapy of bone metastases from prostate cancer: time trends and 5-year survival results.","authors":"Carsten Nieder, Luka Stanisavljevic, Ellinor C Haukland, Bård Mannsåker, Bence Fajth, Astrid Dalhaug","doi":"10.1007/s00066-026-02560-x","DOIUrl":"10.1007/s00066-026-02560-x","url":null,"abstract":"<p><strong>Purpose: </strong>This article describes a regional study performed in patients with bone metastases from prostate cancer hypothesizing that intensified radiotherapy (metastases directed and prostate directed) may result in longer overall survival.</p><p><strong>Methods: </strong>A retrospective study of 246 consecutive male patients who received 347 courses of radiotherapy in the time period 2011-2025 was performed. Patients were stratified into three cohorts spanning 5‑year intervals (2011-2015, 2016-2020, 2021-2025). Survival was analyzed in allcomers and separately in patients without visceral metastases treated within the first year after diagnosis (n = 119).</p><p><strong>Results: </strong>Median overall survival was shortest in the earliest phase of the study (2011-15). The two recent cohorts had similar survival. Outpatients with high performance status irradiated early after diagnosis and to all known sites of disease experienced superior survival. In the subgroup of 119 patients, simultaneous prostate radiotherapy prolonged survival (numerically better than no prostate RT, median 40 vs. 26 months, 5‑year rate 47 vs. 18%, p = 0.11). The impact of bone radiotherapy dose (dichotomized < 3 Gy × 13 or its biological equivalent vs. higher doses) was significant (if synchronous metastases, 5‑year rate 64 vs. 17%, p = 0.026; if metachronous metastases, 5‑year rate 48 vs. 8%, p < 0.001). Bone dose remained significant in multivariate analyses, together with clinical baseline parameters.</p><p><strong>Conclusion: </strong>In our healthcare region, outcomes largely resemble those of prospective trials. Comprehensive radiotherapy to the prostate and bone oligometastases plus guideline-based systemic therapy resulted in favorable 5‑year survival.</p>","PeriodicalId":21998,"journal":{"name":"Strahlentherapie und Onkologie","volume":" ","pages":"944-953"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Ultrahypofractionation of localized prostate cancer-an updated statement of the prostate cancer working group of the German Society of Radiation Oncology (DEGRO). 局部前列腺癌的超低分割——德国放射肿瘤学会(DEGRO)前列腺癌工作组的最新声明。
IF 2.8 3区 医学
Strahlentherapie und Onkologie Pub Date : 2026-09-01 Epub Date: 2026-07-10 DOI: 10.1007/s00066-026-02564-7
A-C Müller, D M Aebersold, C Albrecht, D Boehmer, U Ganswindt, N-S Schmidt-Hegemann, S Höcht, E Hoffmann, T Hölscher, S A Koerber, P Niehoff, J C Peeken, M Pinkawa, B Polat, M Shelan, S K B Spohn, F Wolf, C Zamboglou, D Zips, T Wiegel
{"title":"Ultrahypofractionation of localized prostate cancer-an updated statement of the prostate cancer working group of the German Society of Radiation Oncology (DEGRO).","authors":"A-C Müller, D M Aebersold, C Albrecht, D Boehmer, U Ganswindt, N-S Schmidt-Hegemann, S Höcht, E Hoffmann, T Hölscher, S A Koerber, P Niehoff, J C Peeken, M Pinkawa, B Polat, M Shelan, S K B Spohn, F Wolf, C Zamboglou, D Zips, T Wiegel","doi":"10.1007/s00066-026-02564-7","DOIUrl":"10.1007/s00066-026-02564-7","url":null,"abstract":"<p><strong>Background: </strong>Prostate cancer (PCa) is the most frequently diagnosed malignancy among men in Germany. Radiation therapy is a standard treatment for localized PCa. Ultrahypofractionation (UHF) delivers high doses in fewer fractions, thus offering a time-efficient option compared to traditional standard fractionation lasting for 7-8 weeks. The German Society of Radiation Oncology (DEGRO) expert panel statement provides an updated evaluation of randomized trials with at least 5 years of follow-up.</p><p><strong>Methods: </strong>The members of the DEGRO PCa working group performed a literature search for randomized trials of UHF for localized prostate cancer in March 2025. The analysis included phase III randomized trials with at least 5 years of follow-up: HYPO-RT-PC, PACE‑B, and a proton therapy trial.</p><p><strong>Results: </strong>All trials demonstrated noninferiority of UHF radiotherapy in maintaining disease control. The HYPO-RT-PC trial reported a 5‑year failure-free survival rate of 84% in both treatment groups and PACE‑B reported noninferiority with a 95.8% rate in the SBRT group compared to 94.6% in the control group. Acute urinary and bowel toxicities were more pronounced in UHF arms but resolved over time. Late urinary toxicity was significantly higher in SBRT patients (26.9% vs. 18.3%, p < 0.001, PACE-B). Proton SBRT showed slightly increased toxicity measured by sexual and urinary EPIC.</p><p><strong>Conclusion: </strong>Ultrahypofractionation represents an effective alternative to conventional fractionation in low- to intermediate-risk PCa with similar oncologic outcomes. However, physicians should inform their patients-particularly those with suboptimal urinary function-about an increased risk for GU toxicity.</p>","PeriodicalId":21998,"journal":{"name":"Strahlentherapie und Onkologie","volume":" ","pages":"911-920"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Deep learning-based prediction of interfractional anatomic variations in prostate cancer radiotherapy. 基于深度学习的前列腺癌放射治疗分段解剖变异预测。
IF 2.8 3区 医学
Strahlentherapie und Onkologie Pub Date : 2026-09-01 Epub Date: 2026-02-17 DOI: 10.1007/s00066-026-02509-0
Javad Derougar, Ahmad Mostaar, Reza Jaferyan
{"title":"Deep learning-based prediction of interfractional anatomic variations in prostate cancer radiotherapy.","authors":"Javad Derougar, Ahmad Mostaar, Reza Jaferyan","doi":"10.1007/s00066-026-02509-0","DOIUrl":"10.1007/s00066-026-02509-0","url":null,"abstract":"<p><strong>Purpose: </strong>Interfractional prostate displacement challenges the accuracy of the delivered dose during radiotherapy treatment. Variation in bladder volume is a key driver of this movement. A deep learning (DL) model was developed to predict daily megavoltage computed tomography (MVCT) based on bladder volume and treatment fraction, enabling patient-specific anatomic estimation in prostate radiotherapy.</p><p><strong>Methods: </strong>This retrospective study analyzed 700 MVCT scans from prostate cancer patients treated with tomotherapy. The bladder was manually contoured on all MVCT scans, and its volume was calculated. A customized three-dimensional (3D) U‑Net model was trained to generate synthetic MVCT images using the kilovoltage computed tomography (KVCT), bladder volume, and fraction number as inputs. The model's performance was evaluated with data from 84 held-out MVCTs, using image similarity metrics including structural similarity index (SSIM), normalized cross-correlation (NCC), Dice similarity coefficient (Dice), mean absolute error (MAE), and mean squared error (MSE). Additionally, anatomic accuracy was assessed for bladder and prostate contours, applying the Dice similarity and MSD.</p><p><strong>Results: </strong>The model demonstrated accurate MVCT predictions, evidenced by a mean SSIM ranging from 0.76 to 0.80, NCC from 0.84 to 0.89, a Dice of 0.97, and MAE and MSE values between 0.05 and 0.06 and 0.010 and 0.014, respectively. The predicted anatomy enabled bladder contouring with a mean Dice of 0.83 and mean surface distance (MSD) of 1.64 mm and prostate contouring with a mean Dice of 0.92 and MSD of 0.48 mm. Changes in bladder volume showed moderate correlation with bladder Dice, with a correlation coefficient (r = -0.50), and with MSD (r = 0.64), while the prostate contour metrics exhibited weak correlations.</p><p><strong>Conclusion: </strong>The proposed deep learning (DL) framework demonstrated promising capabilities for anatomic prediction and contour generation using noninvasive input features. Within the context of helical radiotherapy delivered on a Radixact X9 system (Accuray Inc., Madison, WI, USA), where daily MVCT acquisition is standard practice, this approach provides a patient-specific method for estimating the anatomic configuration on the day of treatment based on the planning KVCT and bladder volume information.</p>","PeriodicalId":21998,"journal":{"name":"Strahlentherapie und Onkologie","volume":" ","pages":"930-943"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of skin metastases of ovarian cancer: a novel therapeutic approach. 卵巢癌皮肤转移的管理:一种新的治疗方法。
IF 2.8 3区 医学
Strahlentherapie und Onkologie Pub Date : 2026-09-01 Epub Date: 2026-05-13 DOI: 10.1007/s00066-026-02546-9
Anne-Marie Lüchtenborg, Jörg Sahlmann, Kristin Technau-Hafsi, Natalia Volegova-Neher, Beate Rautenberg, Peter Vaupel, Anca-L Grosu, Andreas R Thomsen
{"title":"Management of skin metastases of ovarian cancer: a novel therapeutic approach.","authors":"Anne-Marie Lüchtenborg, Jörg Sahlmann, Kristin Technau-Hafsi, Natalia Volegova-Neher, Beate Rautenberg, Peter Vaupel, Anca-L Grosu, Andreas R Thomsen","doi":"10.1007/s00066-026-02546-9","DOIUrl":"10.1007/s00066-026-02546-9","url":null,"abstract":"<p><strong>Purpose: </strong>Ovarian cancer, one of the most lethal gynecological cancers, metastasizes into skin in 0.9%-5.8% of cases. Cutaneous metastases severely affect the quality of life of ovarian cancer patients. Although cutaneous metastases are rare, a therapeutic option for affected patients is needed. Herein, we present a combination therapy comprising radiation and mild hyperthermia with parallel chemotherapy as a treatment modality.</p><p><strong>Case: </strong>A woman with extensive skin metastases of a high-grade, serous ovarian carcinoma on the thigh was treated with a combination of mild hyperthermia (39-43 °C) immediately followed by low-dose hypofractionated radiotherapy and parallel systemic treatment with carboplatin/gemcitabine. Mild hyperthermia, a strong radiosensitizer, was induced through water-filtered infrared A radiation (wIRA).</p><p><strong>Results: </strong>The patient responded well and remained tumor free in the treatment area for more than 1 year.</p><p><strong>Conclusion: </strong>Radiotherapy combined with mild hyperthermia in addition to systemic treatment allows for tumor control in the treated area, even with a reduced total radiation dose. To the best of our knowledge, this is the first report of a long-term tumor-free situation in the treatment area of skin metastases of ovarian cancer. This novel treatment might also be beneficial for skin metastases from other malignancies.</p>","PeriodicalId":21998,"journal":{"name":"Strahlentherapie und Onkologie","volume":" ","pages":"986-989"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147933863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Outcomes and PSA kinetics after Magnetic Resonance Image-Guided Stereotactic Body Radiotherapy (MRgSBRT) for prostate cancer. 磁共振图像引导立体定向体放疗(MRgSBRT)治疗前列腺癌后的预后和PSA动力学。
IF 2.8 3区 医学
Strahlentherapie und Onkologie Pub Date : 2026-09-01 Epub Date: 2026-02-02 DOI: 10.1007/s00066-026-02507-2
Ceren Atahan, Gamze Ugurluer, Gorkem Gungor, Neris Dincer, Edanur Celebi, Alper Gul, Banu Atalar, Meric Sengoz, Ufuk Abacioglu, Ali Riza Kural, Enis Ozyar
{"title":"Outcomes and PSA kinetics after Magnetic Resonance Image-Guided Stereotactic Body Radiotherapy (MRgSBRT) for prostate cancer.","authors":"Ceren Atahan, Gamze Ugurluer, Gorkem Gungor, Neris Dincer, Edanur Celebi, Alper Gul, Banu Atalar, Meric Sengoz, Ufuk Abacioglu, Ali Riza Kural, Enis Ozyar","doi":"10.1007/s00066-026-02507-2","DOIUrl":"10.1007/s00066-026-02507-2","url":null,"abstract":"<p><strong>Purpose: </strong>Magnetic resonance-guided stereotactic body radiotherapy (MRgSBRT) combines high-precision SBRT with superior soft tissue visualization and daily adaptive planning. While prospective studies suggest reduced toxicity compared to CT-based SBRT, data on oncologic outcomes and PSA kinetics in the MR-guided setting remain limited.</p><p><strong>Methods: </strong>We retrospectively reviewed 150 prostate cancer patients treated with MRgSBRT (ViewRay MRIdian) between September 2018 and April 2024. Patients received 36.25 Gy radiotherapy in 5 fractions with or without androgen deprivation therapy (ADT). Outcomes included biochemical recurrence free survival (bRFS), local progression free survival (LPFS), regional recurrence free survival (RRFS), distant metastases free survival (DMFS), event-free survival (EFS), PSA kinetics, and toxicity (CTCAE v5.0).</p><p><strong>Results: </strong>The median follow-up was 27.2 months (range: 4-73 months). The estimated 5‑year bRFS, LPFS, RRFS, DMFS and EFS rates were 81.8%, 91.4%, 99.2%, 98.3% and 77.3% respectively. All patients were alive at the time of analysis. The estimated EFS was lowest for the very high-risk group (2-year EFS: 55.6%). The median time to nadir PSA (nPSA) was 12 months (range: 3-54 months), with a median value of 0.46 ng/mL, for all cohort. PSA bounce occurred in 15.3% of patients and was associated with numerically higher 5‑year EFS (95% vs. 73.8%). No acute or late grade ≥ 3 GU or GI toxicities were observed.</p><p><strong>Conclusion: </strong>MRgSBRT for localized prostate cancer provides favorable tumor control with minimal toxicity. Although not statistically significant, PSA bounce was associated with improved outcomes, warranting further investigation as a potential prognostic marker.</p>","PeriodicalId":21998,"journal":{"name":"Strahlentherapie und Onkologie","volume":" ","pages":"921-929"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Image-guided interventional radiotherapy (modern brachytherapy) for treatment of vaginal intraepithelial neoplasia: single-institution experience and systematic literature review and meta-analysis. 影像引导下介入放疗(现代近距离放疗)治疗阴道上皮内瘤变:单机构经验和系统文献回顾及meta分析。
IF 2.8 3区 医学
Strahlentherapie und Onkologie Pub Date : 2026-09-01 Epub Date: 2026-05-26 DOI: 10.1007/s00066-026-02549-6
V Lancellotta, A P Solazzo, B Fionda, G Garganese, S M Fragomeni, A Federico, M C La Milia, P Dragonetti, E Rosa, L Bannoni, M De Angeli, S Russi, S Laurino, A G Morganti, R P De Vincenzo, G Macchia, M A Gambacorta, R Iezzi, L Tagliaferri
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