Radiation Oncology in the 21st Century: Prospective Randomized Trials That Changed Practice… or Didn’t!

In a two-part article published in 2009, we discussed the limitations of conventional radiation therapy, the challenges of studying new technologies in radiation oncology, and summarized the state-of-the science for various malignancies (1, 2). Here, we summarize some of the most important prospecti...

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Main Authors: Kaveh Zakeri, C. Norman Coleman, Bhadrasain Vikram
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-04-01
Series:Frontiers in Oncology
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fonc.2018.00130/full
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author Kaveh Zakeri
Kaveh Zakeri
C. Norman Coleman
Bhadrasain Vikram
author_facet Kaveh Zakeri
Kaveh Zakeri
C. Norman Coleman
Bhadrasain Vikram
author_sort Kaveh Zakeri
collection DOAJ
description In a two-part article published in 2009, we discussed the limitations of conventional radiation therapy, the challenges of studying new technologies in radiation oncology, and summarized the state-of-the science for various malignancies (1, 2). Here, we summarize some of the most important prospective, randomized trials that during the intervening years have attempted to improve the tumor control and/or decrease the adverse effects of radiation therapy. For consistency, we have focused here on the null and alternate hypotheses as articulated by the investigators at the onset of each trial, since the outcome of the investigational treatment should be considered clinically significant only if the null hypothesis was rejected. The readers (and patients) are of course free to make their own judgments about the clinical significance of the results when the null hypothesis was not rejected.
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spelling doaj.art-39917783ec414fbb84559282e66b3a5c2022-12-22T00:19:08ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2018-04-01810.3389/fonc.2018.00130349405Radiation Oncology in the 21st Century: Prospective Randomized Trials That Changed Practice… or Didn’t!Kaveh Zakeri0Kaveh Zakeri1C. Norman Coleman2Bhadrasain Vikram3Radiation Research Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Rockville, MD, United StatesDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, CA, United StatesRadiation Research Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Rockville, MD, United StatesRadiation Research Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute, Rockville, MD, United StatesIn a two-part article published in 2009, we discussed the limitations of conventional radiation therapy, the challenges of studying new technologies in radiation oncology, and summarized the state-of-the science for various malignancies (1, 2). Here, we summarize some of the most important prospective, randomized trials that during the intervening years have attempted to improve the tumor control and/or decrease the adverse effects of radiation therapy. For consistency, we have focused here on the null and alternate hypotheses as articulated by the investigators at the onset of each trial, since the outcome of the investigational treatment should be considered clinically significant only if the null hypothesis was rejected. The readers (and patients) are of course free to make their own judgments about the clinical significance of the results when the null hypothesis was not rejected.http://journal.frontiersin.org/article/10.3389/fonc.2018.00130/fullrandomized trialsradiation oncologysurvivallocal controladverse events
spellingShingle Kaveh Zakeri
Kaveh Zakeri
C. Norman Coleman
Bhadrasain Vikram
Radiation Oncology in the 21st Century: Prospective Randomized Trials That Changed Practice… or Didn’t!
Frontiers in Oncology
randomized trials
radiation oncology
survival
local control
adverse events
title Radiation Oncology in the 21st Century: Prospective Randomized Trials That Changed Practice… or Didn’t!
title_full Radiation Oncology in the 21st Century: Prospective Randomized Trials That Changed Practice… or Didn’t!
title_fullStr Radiation Oncology in the 21st Century: Prospective Randomized Trials That Changed Practice… or Didn’t!
title_full_unstemmed Radiation Oncology in the 21st Century: Prospective Randomized Trials That Changed Practice… or Didn’t!
title_short Radiation Oncology in the 21st Century: Prospective Randomized Trials That Changed Practice… or Didn’t!
title_sort radiation oncology in the 21st century prospective randomized trials that changed practice or didn t
topic randomized trials
radiation oncology
survival
local control
adverse events
url http://journal.frontiersin.org/article/10.3389/fonc.2018.00130/full
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