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Radiation therapy (RT) is an important component of cancer therapy, with >50% of cancer patients receiving

 


Abstract

Radiation therapy (RT) is an important component of 


cancer therapy, with >50% of cancer patients receiving 


RT. As the number of cancer survivors increases, the 


short- and long-term side effects of cancer therapy are 


of growing concern. Side effects of RT for thoracic 


tumors, notably cardiac and pulmonary toxicities, can 


cause morbidity and mortality in long-term cancer 


survivors. An understanding of the biological pathways 


and mechanisms involved in normal tissue toxicity from 


RT will improve future cancer treatments by reducing 


the risk of long-term side effects. Many of these 


mechanistic studies are performed in animal models of 


radiation exposure. In this area of research, the use 


of small animal image-guided RT with treatment planning 


systems that allow more accurate dose determination has 


the potential to revolutionize knowledge of clinically 


relevant tumor and normal tissue radiobiology. However, 


there are still a number of challenges to overcome to 


optimize such radiation delivery, including dose 


verification and calibration, determination of doses 


received by adjacent normal tissues that can affect 


outcomes, and motion management and identifying 


variation in doses due to animal heterogeneity. In 


addition, recent studies have begun to determine how 


animal strain and sex affect normal tissue radiation 


injuries. This review article discusses the known and 


potential benefits and caveats of newer technologies 


and methods used for small animal radiation delivery, 


as well as how the choice of animal models, including 


variables such as species, strain, and age, can alter 


the severity of cardiac radiation toxicities and impact 


their clinical relevance.

PMID: 32053873 [PubMed]

14:58

Cancer & Heart (Cardio-Oncology, Cardiotoxicity, TEV)

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In reply to this message

pubmed: caandvteortroorpul

Endobronchial ultrasound-guided radiofrequency ablation 


of lung tumors and mediastinal lymph nodes: a 


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Semin Thorac Cardiovasc Surg. 2020 Feb 10;:


Authors: Motooka Y, Fujino K, Gregor A, Bernards N, 


Chan H, Inage T, Ujiie H, Kato T, Kinoshita T, Ishiwata 


T, Suzuki M, Yasufuku K


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