J 2022

FMISO-Based Adaptive Radiotherapy in Head and Neck Cancer

DOLEZEL, Martin, Marek SLÁVIK, Tomas BLAZEK, Tomáš KAZDA, Pavel KORANDA et. al.

Basic information

Original name

FMISO-Based Adaptive Radiotherapy in Head and Neck Cancer

Authors

DOLEZEL, Martin (203 Czech Republic), Marek SLÁVIK (703 Slovakia, guarantor, belonging to the institution), Tomas BLAZEK (203 Czech Republic), Tomáš KAZDA (203 Czech Republic, belonging to the institution), Pavel KORANDA (203 Czech Republic), Lucia VEVERKOVA (203 Czech Republic), Petr BURKOŇ (203 Czech Republic, belonging to the institution) and Jakub CVEK (203 Czech Republic)

Edition

Journal of Personalized Medicine, Basel, MDPI, 2022, 2075-4426

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30224 Radiology, nuclear medicine and medical imaging

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 3.508 in 2021

RIV identification code

RIV/00216224:14110/22:00128261

Organization unit

Faculty of Medicine

UT WoS

000845752300001

Keywords in English

head and neck cancer; adaptive radiotherapy; FMISO

Tags

Tags

International impact, Reviewed
Změněno: 25/1/2023 10:19, Mgr. Tereza Miškechová

Abstract

V originále

Concurrent chemoradiotherapy represents one of the most used strategies in the curative treatment of patients with head and neck (HNC) cancer. Locoregional failure is the predominant recurrence pattern. Tumor hypoxia belongs to the main cause of treatment failure. Positron emission tomography (PET) using hypoxia radiotracers has been studied extensively and has proven its feasibility and reproducibility to detect tumor hypoxia. A number of studies confirmed that the uptake of FMISO in the recurrent region is significantly higher than that in the non-recurrent region. The escalation of dose to hypoxic tumors may improve outcomes. The technical feasibility of optimizing radiotherapeutic plans has been well documented. To define the hypoxic tumour volume, there are two main approaches: dose painting by contour (DPBC) or by number (DPBN) based on PET images. Despite amazing technological advances, precision in target coverage, and surrounding tissue sparring, radiation oncology is still not considered a targeted treatment if the "one dose fits all" approach is used. Using FMISO and other hypoxia tracers may be an important step for individualizing radiation treatment and together with future radiomic principles and a possible genome-based adjusting dose, will move radiation oncology into the precise and personalized era.