DOLEZEL, Martin, Marek SLÁVIK, Tomas BLAZEK, Tomáš KAZDA, Pavel KORANDA, Lucia VEVERKOVA, Petr BURKOŇ and Jakub CVEK. FMISO-Based Adaptive Radiotherapy in Head and Neck Cancer. Journal of Personalized Medicine. Basel: MDPI, 2022, vol. 12, No 8, p. 1-12. ISSN 2075-4426. Available from: https://dx.doi.org/10.3390/jpm12081245.
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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
Original language English
Type of outcome Article in a journal
Field of Study 30224 Radiology, nuclear medicine and medical imaging
Country of publisher Switzerland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.508 in 2021
RIV identification code RIV/00216224:14110/22:00128261
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.3390/jpm12081245
UT WoS 000845752300001
Keywords in English head and neck cancer; adaptive radiotherapy; FMISO
Tags 14110812, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 25/1/2023 10:19.
Abstract
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.
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