Adaptive radiotherapy for breast cancer

C. De-Colle*, A. Kirby, N. Russell, S.F. Shaitelman, A. Currey, E. Donovan, E. Hahn, K. Han, C.N. Anandadas, F. Mahmood, E.L. Lorenzen, H.J.G. Desiree van den Bongard, M.L. Groot Koerkamp, A.C. Houweling, M. Nachbar, D. Thorwarth, D. Zips

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

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Abstract

Research in the field of local and locoregional breast cancer radiotherapy aims to maintain excellent oncological outcomes while reducing treatment-related toxicity. Adaptive radiotherapy (ART) considers variations in target and organs at risk (OARs) anatomy occurring during the treatment course and integrates these in re-optimized treatment plans. Exploiting ART routinely in clinic may result in smaller target volumes and better OAR sparing, which may lead to reduction of acute as well as late toxicities. In this review MR-guided and CT-guided ART for breast cancer patients according to different clinical scenarios (neoadjuvant and adjuvant partial breast irradiation, whole breast, chest wall and regional nodal irradiation) are reviewed and their advantages as well as challenging aspects discussed.

Original languageEnglish
Article number100564
JournalClinical and Translational Radiation Oncology
Volume39
DOIs
Publication statusPublished - Mar 2023
Externally publishedYes

Keywords

  • Adaptive radiotherapy
  • Breast cancer
  • MR-linac
  • Partial breast irradiation

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