Tom 6, Nr 5 (2021)
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Opublikowany online: 2021-08-20

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Eksport do Mediów Społecznościowych

Individually personalized radiotherapy vs. evidence (trials) based standards – paradigms and dilemmas

Bogusław Maciejewski1, Adam Maciejczyk23
Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2021;6(5):376-382.

Streszczenie

This paper opens up to discussion whether some questions, points of view, and doubts counterbalance the belief and dogmas that randomized clinical trials (mainly in radiotherapy) should be considered as the only source of guidelines to design novel therapeutic standards in radiotherapy. A number of the physics, radiotherapy, clinical radiobiology and genetic and molecular tumor’s characteristics suggest that radiotherapy protocols based on the “evidence based trials” seem to be antonymous to individually personalized therapy. The major goal of this paper is to consider and discuss whether individually personalized radiotherapy is already attainable and reliable or still remains the exception.

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Referencje

  1. Fowler JF, Tomé WA, Fenwick JD, et al. A challenge to traditional radiation oncology. Int J Radiat Oncol Biol Phys. 2004; 60(4): 1241–1256.
  2. Tomé WA, Fowler JF. Selective boosting of tumor subvolumes. Int J Radiat Oncol Biol Phys. 2000; 48(2): 593–599.
  3. Johnson CR, Thames HD, Huang DT, et al. The tumor volume and clonogen number relationship: tumor control predictions based upon tumor volume estimates derived from computed tomography. Int J Radiat Oncol Biol Phys. 1995; 33(2): 281–287.
  4. Bentzen SM. Quantitative clinical radiobiology. Acta Oncol. 1993; 32(3): 259–275.
  5. Withers HR. Biological aspects of conformal therapy. Acta Oncol. 2000; 39(5): 569–577.
  6. Withers HR, Thames HD, Peters LJ. A new isoeffect curve for change in dose per fraction. Radiother Oncol. 1983; 1(2): 187–191.
  7. Maciejewski B, Withers HR, Taylor JM, et al. Dose fractionation and regeneration in radiotherapy for cancer of the oral cavity and oropharynx: tumor dose-response and repopulation. Int J Radiat Oncol Biol Phys. 1989; 16(3): 831–843.
  8. Steel GG. Basic clinical radiobiology. 3rd ed. Arnold – Oxford Univ. Press, New York 2002: 1–246.
  9. Withers HR, Taylor J, Maciejewski B. The hazard of accelerated tumor clonogen repopulation during radiotherapy. Acta Oncol. 2009; 27(2): 131–146.
  10. Maciejewski B, Suwiński R, Blamek S. Radiobiologia kliniczna w radioonkologii. Medycyna Praktyczna. 2019: 65–97.
  11. Withers HR. Biological bases for modifying conventional fractionation regimens in radiotherapy. Strahlentherapie. 1984; 160(11): 670–677.
  12. Brizel D. Radiotherapy and concurrent chemotherapy for the treatment of locally advanced head and neck squamous cell carcinoma. Semin Radiat Oncol. 1998; 8(4): 237–246.
  13. Bernier J. Current state-of-the-art for concurrent chemoradiation. Semin Radiat Oncol. 2009; 19(1): 3–10.
  14. Pignon JP, Bourhis J, Domenge C, et al. Chemotherapy added to locoregional treatment for head and neck squamous-cell carcinoma: three meta-analyses of updated individual data. MACH-NC Collaborative Group. Meta-Analysis of Chemotherapy on Head and Neck Cancer. Lancet. 2000; 355(9208): 949–955.
  15. Peters LJ, Wendt CD. Tumor volume as a predictor of radiocurability--a drop in the bucket? Int J Radiat Oncol Biol Phys. 1990; 19(2): 497–498.
  16. Brenner D. Dose, volume, and tumor-control predictions in radiotherapy. Int J Radiat Oncol Biol Phys. 1993; 26(1): 171–179.
  17. Bentzen SM. Towards evidence based radiation oncology: improving the design, analysis, and reporting of clinical outcome studies in radiotherapy. Radiother Oncol. 1998; 46(1): 5–18.
  18. Glatstein E. Personal thoughts on statistic: pitfals or lies, dam lies and statistics. Int J Radiat Oncol Biol Phys. 2004; 58: 1329–1333.
  19. Fastner G, Gaisberger C, Kaiser J, et al. ESTRO IORT Task Force/ACROP recommendations for intraoperative radiation therapy with electrons (IOERT) in breast cancer. Radiother Oncol. 2020; 149: 150–157.
  20. Leemans CR, Brakhuis BJ, Bratzenhoff RH. The molecular biology of head and neck cancer. Nat Rev Cancer. 2011; 1: 9–22.
  21. Baumann M, Kurth I, Cordes N. Molecular cancer and radiation biology. In: Principles and Practice of Radiation Oncology. 7th ed. Wolter and Kluwer 2019: 71–86.
  22. Baumann M, Krause M, Hill R. Exploring the role of cancer stem cells in radioresistance. Nat Rev Cancer. 2008; 8(7): 545–554.