TY - JOUR
T1 - Adaptive radiotherapy for breast cancer
AU - De-Colle, C.
AU - Kirby, A.
AU - Russell, N.
AU - Shaitelman, S.F.
AU - Currey, A.
AU - Donovan, E.
AU - Hahn, E.
AU - Han, K.
AU - Anandadas, C.N.
AU - Mahmood, F.
AU - Lorenzen, E.L.
AU - Bongard, H.J.G. Desiree van den
AU - Groot Koerkamp, M.L.
AU - Houweling, A.C.
AU - Nachbar, M.
AU - Thorwarth, D.
AU - Zips, D.
N1 - Publisher Copyright:
© 2022
PY - 2023/3
Y1 - 2023/3
N2 - 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.
AB - 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.
KW - Adaptive radiotherapy
KW - Breast cancer
KW - MR-linac
KW - Partial breast irradiation
UR - http://www.scopus.com/inward/record.url?scp=85146009085&partnerID=8YFLogxK
U2 - 10.1016/j.ctro.2022.100564
DO - 10.1016/j.ctro.2022.100564
M3 - Review article
AN - SCOPUS:85146009085
SN - 2405-6308
VL - 39
JO - Clinical and Translational Radiation Oncology
JF - Clinical and Translational Radiation Oncology
M1 - 100564
ER -