Stereotactic Body Radiotherapy: Does It Have a Role in Management of Hepatocellular Carcinoma?
Yonsei Medical Journal
; : 912-922, 2018.
Article
ي En
| WPRIM
| ID: wpr-717939
المكتبة المسؤولة:
WPRO
ABSTRACT
Stereotactic body radiotherapy (SBRT) is a form of radiotherapy that delivers high doses of irradiation with high precision in a small number of fractions. However, it has not frequently been performed for the liver due to the risk of radiation-induced liver toxicity. Furthermore, liver SBRT is cumbersome because it requires accurate patient repositioning, target localization, control of breathing-related motion, and confers a toxicity risk to the small bowel. Recently, with the advancement of modern technologies including intensity-modulated RT and image-guided RT, SBRT has been shown to significantly improve local control and survival outcomes for hepatocellular carcinoma (HCC), specifically those unfit for other local therapies. While it can be used as a stand-alone treatment for those patients, it can also be applied either as an alternative or as an adjunct to other HCC therapies (e.g., transarterial chemoembolization, and radiofrequency ablation). SBRT might be an effective and safe bridging therapy for patients awaiting liver transplantation. Furthermore, in recent studies, SBRT has been shown to have a potential role as an immunostimulator, supporting the novel combination strategy of immunoradiotherapy for HCC. In this review, the role of SBRT with some technical issues is discussed. In addition, future implications of SBRT as an immunostimulator are considered.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Radiotherapy
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Liver Transplantation
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Radiosurgery
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Radioimmunotherapy
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Carcinoma, Hepatocellular
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Radiotherapy, Intensity-Modulated
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Moving and Lifting Patients
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Immunotherapy
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Liver
المحددات:
Humans
اللغة:
En
مجلة:
Yonsei Medical Journal
السنة:
2018
نوع:
Article