Intensity-Modulated Radiotherapy in the Treatment of Pancreatic Adenocarcinoma – A Review

Pancreatic cancer remains one of the leading causes of cancer deaths. Despite improvements in imaging, surgical techniques, chemotherapy agents, and radiation techniques, the prognosis for patients with pancreatic adenocarcinoma remains poor. Traditionally, radiotherapy (RT) has been utilized as neo...

Full description

Bibliographic Details
Main Authors: Luciana Caravatta, Gabriella Macchia, Francesco Deodato, Marco Felicetti, Francesco Cellini, Antonella Ciabattoni, Milly Buwenge, Vincenzo Picardi, Savino Cilla, Andrea Scapati, Vincenzo Valentini, Alessio G. Morganti
Format: Article
Language:English
Published: European Medical Journal 2013-10-01
Series:European Medical Journal Oncology
Subjects:
Online Access:http://emjreviews.com/wp-content/uploads/INTENSITY-MODULATED-RADIOTHERAPY-IN-THE-TREATMENT-OF-PANCREATIC-ADENOCARCINOMA-A-REVIEW-1.pdf
_version_ 1818344993871364096
author Luciana Caravatta
Gabriella Macchia
Francesco Deodato
Marco Felicetti
Francesco Cellini
Antonella Ciabattoni
Milly Buwenge
Vincenzo Picardi
Savino Cilla
Andrea Scapati
Vincenzo Valentini
Alessio G. Morganti
author_facet Luciana Caravatta
Gabriella Macchia
Francesco Deodato
Marco Felicetti
Francesco Cellini
Antonella Ciabattoni
Milly Buwenge
Vincenzo Picardi
Savino Cilla
Andrea Scapati
Vincenzo Valentini
Alessio G. Morganti
author_sort Luciana Caravatta
collection DOAJ
description Pancreatic cancer remains one of the leading causes of cancer deaths. Despite improvements in imaging, surgical techniques, chemotherapy agents, and radiation techniques, the prognosis for patients with pancreatic adenocarcinoma remains poor. Traditionally, radiotherapy (RT) has been utilized as neoadjuvant, adjuvant, or definitive treatment, and represents an important therapeutic option in pancreatic adenocarcinoma. Intensity-modulated radiation therapy (IMRT), a more recent RT technique, has the potential to deliver an adequate dose to the tumour volume with a minimal dose to the surrounding critical structures such as duodenum, small intestine, liver, kidneys, and spinal cord. This article provides a review about the role of IMRT in the treatment of pancreatic cancer, concerning clinical outcomes such as toxicity, local control, and overall survival.
first_indexed 2024-12-13T16:55:19Z
format Article
id doaj.art-94da8f45f99749c2808b96bd31653af3
institution Directory Open Access Journal
issn 2054-619X
language English
last_indexed 2024-12-13T16:55:19Z
publishDate 2013-10-01
publisher European Medical Journal
record_format Article
series European Medical Journal Oncology
spelling doaj.art-94da8f45f99749c2808b96bd31653af32022-12-21T23:37:56ZengEuropean Medical JournalEuropean Medical Journal Oncology2054-619X2013-10-01119097Intensity-Modulated Radiotherapy in the Treatment of Pancreatic Adenocarcinoma – A ReviewLuciana Caravatta0Gabriella Macchia1Francesco Deodato2Marco Felicetti3Francesco Cellini4Antonella Ciabattoni5Milly Buwenge6Vincenzo Picardi7Savino Cilla8Andrea Scapati9Vincenzo Valentini10Alessio G. Morganti11Radiation Oncology Department, Fondazione di Ricerca e Cura “Giovanni Paolo II,” Università Cattolica del S. Cuore, Campobasso, Italy. Radiation Oncology Department, “San Francesco” Hospital, Nuoro, ItalyRadiation Oncology Department, Fondazione di Ricerca e Cura “Giovanni Paolo II,” Università Cattolica del S. Cuore, Campobasso, ItalyRadiation Oncology Department, Fondazione di Ricerca e Cura “Giovanni Paolo II,” Università Cattolica del S. Cuore, Campobasso, ItalyRadiation Oncology Department, Fondazione di Ricerca e Cura “Giovanni Paolo II,” Università Cattolica del S. Cuore, Campobasso, ItalyRadiotherapy Department, Università Campus Biomedico, Rome, ItalyRadiotherapy Departement, S. Filippo Neri Hospital, Rome, ItalyRadiotherapy Department, Mulago Hospital, Kampala, UgandaRadiation Oncology Department, Fondazione di Ricerca e Cura “Giovanni Paolo II,” Università Cattolica del S. Cuore, Campobasso, ItalyMedical Physics Unit, Fondazione di Ricerca e Cura “Giovanni Paolo II,” Università Cattolica del S. Cuore, Campobasso, ItalyRadiation Oncology Department, “San Francesco” Hospital, Nuoro, ItalyRadiotherapy Department, Università Cattolica del S. Cuore, Roma, ItalyRadiation Oncology Department, Fondazione di Ricerca e Cura “Giovanni Paolo II,” Università Cattolica del S. Cuore, Campobasso, Italy. Radiotherapy Department, Università Cattolica del S. Cuore, Roma, ItalyPancreatic cancer remains one of the leading causes of cancer deaths. Despite improvements in imaging, surgical techniques, chemotherapy agents, and radiation techniques, the prognosis for patients with pancreatic adenocarcinoma remains poor. Traditionally, radiotherapy (RT) has been utilized as neoadjuvant, adjuvant, or definitive treatment, and represents an important therapeutic option in pancreatic adenocarcinoma. Intensity-modulated radiation therapy (IMRT), a more recent RT technique, has the potential to deliver an adequate dose to the tumour volume with a minimal dose to the surrounding critical structures such as duodenum, small intestine, liver, kidneys, and spinal cord. This article provides a review about the role of IMRT in the treatment of pancreatic cancer, concerning clinical outcomes such as toxicity, local control, and overall survival.http://emjreviews.com/wp-content/uploads/INTENSITY-MODULATED-RADIOTHERAPY-IN-THE-TREATMENT-OF-PANCREATIC-ADENOCARCINOMA-A-REVIEW-1.pdfIntensity-Modulated RadiotherapyOutcomePancreatic CancerToxicity
spellingShingle Luciana Caravatta
Gabriella Macchia
Francesco Deodato
Marco Felicetti
Francesco Cellini
Antonella Ciabattoni
Milly Buwenge
Vincenzo Picardi
Savino Cilla
Andrea Scapati
Vincenzo Valentini
Alessio G. Morganti
Intensity-Modulated Radiotherapy in the Treatment of Pancreatic Adenocarcinoma – A Review
European Medical Journal Oncology
Intensity-Modulated Radiotherapy
Outcome
Pancreatic Cancer
Toxicity
title Intensity-Modulated Radiotherapy in the Treatment of Pancreatic Adenocarcinoma – A Review
title_full Intensity-Modulated Radiotherapy in the Treatment of Pancreatic Adenocarcinoma – A Review
title_fullStr Intensity-Modulated Radiotherapy in the Treatment of Pancreatic Adenocarcinoma – A Review
title_full_unstemmed Intensity-Modulated Radiotherapy in the Treatment of Pancreatic Adenocarcinoma – A Review
title_short Intensity-Modulated Radiotherapy in the Treatment of Pancreatic Adenocarcinoma – A Review
title_sort intensity modulated radiotherapy in the treatment of pancreatic adenocarcinoma a review
topic Intensity-Modulated Radiotherapy
Outcome
Pancreatic Cancer
Toxicity
url http://emjreviews.com/wp-content/uploads/INTENSITY-MODULATED-RADIOTHERAPY-IN-THE-TREATMENT-OF-PANCREATIC-ADENOCARCINOMA-A-REVIEW-1.pdf
work_keys_str_mv AT lucianacaravatta intensitymodulatedradiotherapyinthetreatmentofpancreaticadenocarcinomaareview
AT gabriellamacchia intensitymodulatedradiotherapyinthetreatmentofpancreaticadenocarcinomaareview
AT francescodeodato intensitymodulatedradiotherapyinthetreatmentofpancreaticadenocarcinomaareview
AT marcofelicetti intensitymodulatedradiotherapyinthetreatmentofpancreaticadenocarcinomaareview
AT francescocellini intensitymodulatedradiotherapyinthetreatmentofpancreaticadenocarcinomaareview
AT antonellaciabattoni intensitymodulatedradiotherapyinthetreatmentofpancreaticadenocarcinomaareview
AT millybuwenge intensitymodulatedradiotherapyinthetreatmentofpancreaticadenocarcinomaareview
AT vincenzopicardi intensitymodulatedradiotherapyinthetreatmentofpancreaticadenocarcinomaareview
AT savinocilla intensitymodulatedradiotherapyinthetreatmentofpancreaticadenocarcinomaareview
AT andreascapati intensitymodulatedradiotherapyinthetreatmentofpancreaticadenocarcinomaareview
AT vincenzovalentini intensitymodulatedradiotherapyinthetreatmentofpancreaticadenocarcinomaareview
AT alessiogmorganti intensitymodulatedradiotherapyinthetreatmentofpancreaticadenocarcinomaareview