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SHR Neuro Cancer Cardio Lipid Metab Microb

Schaub, SK; Hartvigson, PE; Lock, MI; Høyer, M; Brunner, TB; Cardenes, HR; Dawson, LA; Kim, EY; Mayr, NA; Lo, SS; Apisarnthanarax, S.
Stereotactic Body Radiation Therapy for Hepatocellular Carcinoma: Current Trends and Controversies.
Technol Cancer Res Treat. 2018; 17:1533033818790217 Doi: 10.1177/1533033818790217 [OPEN ACCESS]
Web of Science PubMed PUBMED Central FullText FullText_MUG

 

Co-authors Med Uni Graz
Brunner Thomas Baptist
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Abstract:
Hepatocellular carcinoma is the fourth leading cause of cancer-related death worldwide. Depending on the extent of disease and competing comorbidities for mortality, multiple liver-directed therapy options exist for the treatment of hepatocellular carcinoma. Advancements in radiation oncology have led to the emergence of stereotactic body radiation therapy as a promising liver-directed therapy, which delivers high doses of radiation with a steep dose gradient to maximize local tumor control and minimize radiation-induced treatment toxicity. In this study, we review the current clinical data as well as the unresolved issues and controversies regarding stereotactic body radiation therapy for hepatocellular carcinoma: (1) Is there a radiation dose-response relationship with hepatocellular carcinoma? (2) What are the optimal dosimetric predictors of radiation-induced liver disease, and do they differ for patients with varying liver function? (3) How do we assess treatment response on imaging? (4) How does stereotactic body radiation therapy compare to other liver-directed therapy modalities, including proton beam therapy? Based on the current literature discussed, this review highlights future possible research and clinical directions.
Find related publications in this database (using NLM MeSH Indexing)
Carcinoma, Hepatocellular - radiotherapy
Dose-Response Relationship, Radiation - administration & dosage
Humans - administration & dosage
Liver - radiation effects
Liver Neoplasms - radiotherapy
Radiosurgery - methods
Treatment Outcome - administration & dosage

Find related publications in this database (Keywords)
HCC
hepatocellular carcinoma
SBRT
stereotactic body radiation therapy
SABR
stereotactic ablative radiation therapy
proton therapy
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