Radiotherapy Advances in Pediatric Neuro-Oncology

Radiation therapy (RT) represents an integral component in the treatment of many pediatric brain tumors. Multiple advances have emerged within pediatric radiation oncology that aim to optimize the therapeutic ratio—improving disease control while limiting RT-related toxicity. These include...

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Main Authors: Ethan B. Ludmir, David R. Grosshans, Kristina D. Woodhouse
Format: Article
Language:English
Published: MDPI AG 2018-11-01
Series:Bioengineering
Subjects:
Online Access:https://www.mdpi.com/2306-5354/5/4/97
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author Ethan B. Ludmir
David R. Grosshans
Kristina D. Woodhouse
author_facet Ethan B. Ludmir
David R. Grosshans
Kristina D. Woodhouse
author_sort Ethan B. Ludmir
collection DOAJ
description Radiation therapy (RT) represents an integral component in the treatment of many pediatric brain tumors. Multiple advances have emerged within pediatric radiation oncology that aim to optimize the therapeutic ratio—improving disease control while limiting RT-related toxicity. These include innovations in treatment planning with magnetic resonance imaging (MRI) simulation, as well as increasingly sophisticated radiation delivery techniques. Advanced RT techniques, including photon-based RT such as intensity-modulated RT (IMRT) and volumetric-modulated arc therapy (VMAT), as well as particle beam therapy and stereotactic RT, have afforded an array of options to dramatically reduce radiation exposure of uninvolved normal tissues while treating target volumes. Along with advances in image guidance of radiation treatments, novel RT approaches are being implemented in ongoing and future prospective clinical trials. As the era of molecular risk stratification unfolds, personalization of radiation dose, target, and technique holds the promise to meaningfully improve outcomes for pediatric neuro-oncology patients.
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spelling doaj.art-2eff61a1e6ee4b6d8bd674f35b8e64c92023-09-03T01:21:47ZengMDPI AGBioengineering2306-53542018-11-01549710.3390/bioengineering5040097bioengineering5040097Radiotherapy Advances in Pediatric Neuro-OncologyEthan B. Ludmir0David R. Grosshans1Kristina D. Woodhouse2Department of Radiation Oncology, Unit 97, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USADepartment of Radiation Oncology, Unit 97, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USADepartment of Radiation Oncology, Unit 97, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USARadiation therapy (RT) represents an integral component in the treatment of many pediatric brain tumors. Multiple advances have emerged within pediatric radiation oncology that aim to optimize the therapeutic ratio—improving disease control while limiting RT-related toxicity. These include innovations in treatment planning with magnetic resonance imaging (MRI) simulation, as well as increasingly sophisticated radiation delivery techniques. Advanced RT techniques, including photon-based RT such as intensity-modulated RT (IMRT) and volumetric-modulated arc therapy (VMAT), as well as particle beam therapy and stereotactic RT, have afforded an array of options to dramatically reduce radiation exposure of uninvolved normal tissues while treating target volumes. Along with advances in image guidance of radiation treatments, novel RT approaches are being implemented in ongoing and future prospective clinical trials. As the era of molecular risk stratification unfolds, personalization of radiation dose, target, and technique holds the promise to meaningfully improve outcomes for pediatric neuro-oncology patients.https://www.mdpi.com/2306-5354/5/4/97radiotherapypediatric oncologybrain tumorsproton beam therapyintensity-modulated radiotherapymagnetic resonance imagingimage guidance
spellingShingle Ethan B. Ludmir
David R. Grosshans
Kristina D. Woodhouse
Radiotherapy Advances in Pediatric Neuro-Oncology
Bioengineering
radiotherapy
pediatric oncology
brain tumors
proton beam therapy
intensity-modulated radiotherapy
magnetic resonance imaging
image guidance
title Radiotherapy Advances in Pediatric Neuro-Oncology
title_full Radiotherapy Advances in Pediatric Neuro-Oncology
title_fullStr Radiotherapy Advances in Pediatric Neuro-Oncology
title_full_unstemmed Radiotherapy Advances in Pediatric Neuro-Oncology
title_short Radiotherapy Advances in Pediatric Neuro-Oncology
title_sort radiotherapy advances in pediatric neuro oncology
topic radiotherapy
pediatric oncology
brain tumors
proton beam therapy
intensity-modulated radiotherapy
magnetic resonance imaging
image guidance
url https://www.mdpi.com/2306-5354/5/4/97
work_keys_str_mv AT ethanbludmir radiotherapyadvancesinpediatricneurooncology
AT davidrgrosshans radiotherapyadvancesinpediatricneurooncology
AT kristinadwoodhouse radiotherapyadvancesinpediatricneurooncology