胰腺癌的立体定向体放射治疗（SBRT）：放射外科协会的《挑战性病例实用指南》。

IF 3.4 3区医学 Q2 ONCOLOGY

Practical Radiation Oncology Pub Date : 2024-11-01 DOI:10.1016/j.prro.2024.06.004

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引用次数: 0

摘要

尽管近年来技术不断进步，但胰腺癌放射治疗（RT）的使用仍存在争议。全身控制的改善使 RT 的作用不断发展，同时也需要改善局部肿瘤控制，但目前还没有标准化的方法。立体定向体放射治疗（SBRT）、运动管理、实时图像引导和自适应治疗等方面的进步为改善这种生存率最低的毁灭性疾病的治疗效果带来了新的希望。本指南以病例为基础，为局部晚期胰腺癌的 SBRT 治疗提供了实用框架。在进行多学科治疗的同时，应采用学科内方法指导这些指南中概述的高风险病例的治疗，以便进行前瞻性同行评审和治疗安全性讨论。

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SBRT for Pancreatic Cancer: A Radiosurgery Society Case-Based Practical Guidelines to Challenging Cases

The use of radiation therapy (RT) for pancreatic cancer continues to be controversial, despite recent technical advances. Improvements in systemic control have created an evolving role for RT and the need for improved local tumor control, but currently, no standardized approach exists. Advances in stereotactic body RT, motion management, real-time image guidance, and adaptive therapy have renewed hopes of improved outcomes in this devastating disease with one of the lowest survival rates. This case-based guide provides a practical framework for delivering stereotactic body RT for locally advanced pancreatic cancer. In conjunction with multidisciplinary care, an intradisciplinary approach should guide treatment of the high-risk cases outlined within these guidelines for prospective peer review and treatment safety discussions.

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来源期刊

Practical Radiation Oncology Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

5.20

自引率

6.10%

发文量

177

审稿时长

34 days

期刊介绍： The overarching mission of Practical Radiation Oncology is to improve the quality of radiation oncology practice. PRO''s purpose is to document the state of current practice, providing background for those in training and continuing education for practitioners, through discussion and illustration of new techniques, evaluation of current practices, and publication of case reports. PRO strives to provide its readers content that emphasizes knowledge "with a purpose." The content of PRO includes: Original articles focusing on patient safety, quality measurement, or quality improvement initiatives Original articles focusing on imaging, contouring, target delineation, simulation, treatment planning, immobilization, organ motion, and other practical issues ASTRO guidelines, position papers, and consensus statements Essays that highlight enriching personal experiences in caring for cancer patients and their families.