Stefania Volpe , Federico Mastroleo , Maria Giulia Vincini , Mattia Zaffaroni , Alice Porazzi , Ernesto Damiani , Giulia Marvaso , Barbara Alicja Jereczek-Fossa
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Facing the climate change: Is radiotherapy as green as we would like? A systematic review
Purpose
To focus on the ecological footprint of radiotherapy (RT), on opportunities for sustainable practices, on future research directions.
Methods
Different databases were interrogated using the following terms: Carbon Footprint, Sustainab*, Carbon Dioxide, Radiotherapy, and relative synonyms.
Results
931 records were retrieved; 15 reports were included in the review. Eight main thematic areas have been identified. Nine research works analyzed the environmental impact of photon-based external beam RT. Particle therapy was the subject of one work. Other thematic areas were brachytherapy, intra-operative RT, telemedicine, travel-related issues, and the impact of COVID-19.
Conclusion
This review demonstrates the strong interest in identifying novel strategies for a more environmentally friendly RT and serves as a clarion call to unveil the environmental impact of carbon footprints entwined with radiation therapy. Future research should address current gaps to guide the transition towards greener practices, reducing the environmental footprint and maintaining high-quality care.
期刊介绍：
Critical Reviews in Oncology/Hematology publishes scholarly, critical reviews in all fields of oncology and hematology written by experts from around the world. Critical Reviews in Oncology/Hematology is the Official Journal of the European School of Oncology (ESO) and the International Society of Liquid Biopsy.
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