Methodologies in the modeling of combined chemo-radiation treatments.

Abstract:

:The variety of treatment options for cancer patients has increased significantly in recent years. Not only do we combine radiation with surgery and chemotherapy, new therapeutic approaches such as immunotherapy and targeted therapies are starting to play a bigger role. Physics has made significant contributions to radiation therapy treatment planning and delivery. In particular, treatment plan optimization using inverse planning techniques has improved dose conformity considerably. Furthermore, medical physics is often the driving force behind tumor control and normal tissue complication modeling. While treatment optimization and outcome modeling does focus mainly on the effects of radiation, treatment modalities such as chemotherapy are treated independently or are even neglected entirely. This review summarizes the published efforts to model combined modality treatments combining radiation and chemotherapy. These models will play an increasing role in optimizing cancer therapy not only from a radiation and drug dosage standpoint, but also in terms of spatial and temporal optimization of treatment schedules.

journal_name

Phys Med Biol

authors

Grassberger C,Paganetti H

doi

10.1088/0031-9155/61/21/R344

subject

Has Abstract

pub_date

2016-11-07 00:00:00

pages

R344-R367

issue

21

eissn

0031-9155

issn

1361-6560

journal_volume

61

pub_type

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