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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pubmed: caandvteortroorpul
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Authors: Motooka Y, Fujino K, Gregor A, Bernards N,
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T, Suzuki M, Yasufuku K
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