Intensity modulated radiation therapy for breast cancer: current perspectives

Milly Buwenge,1 Silvia Cammelli,1 Ilario Ammendolia,1 Giorgio Tolento,1 Alice Zamagni,1 Alessandra Arcelli,2 Gabriella Macchia,3 Francesco Deodato,3 Savino Cilla,4 Alessio G Morganti1 1Department of Experimental, Diagnostic and Specialty Medicine – DIMES, Radiation Oncology Center, Univers...

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Autores principales:	Buwenge M, Cammelli S, Ammendolia I, Tolento G, Zamagni A, Arcelli A, Macchia G, Deodato F, Cilla S, Morganti AG
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	intensity modulated radiotherapy breast cancer literature review. Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/f630e42ea370402689a41275eff774c4
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spelling	oai:doaj.org-article:f630e42ea370402689a41275eff774c42021-12-02T05:13:20ZIntensity modulated radiation therapy for breast cancer: current perspectives1179-1314https://doaj.org/article/f630e42ea370402689a41275eff774c42017-03-01T00:00:00Zhttps://www.dovepress.com/intensity-modulated-radiation-therapy-for-breast-cancer-current-perspe-peer-reviewed-article-BCTThttps://doaj.org/toc/1179-1314Milly Buwenge,1 Silvia Cammelli,1 Ilario Ammendolia,1 Giorgio Tolento,1 Alice Zamagni,1 Alessandra Arcelli,2 Gabriella Macchia,3 Francesco Deodato,3 Savino Cilla,4 Alessio G Morganti1 1Department of Experimental, Diagnostic and Specialty Medicine – DIMES, Radiation Oncology Center, University of Bologna, S.Orsola-Malpighi Hospital, 2Radiation Oncology Unit, Bellaria Hospital, Bologna, 3Radiation Oncology Unit, 4Medical Physics Unit, Research and Care Foundation ‘Giovanni Paolo II,’ Catholic University of Sacred Heart, Campobasso, Italy Background: Owing to highly conformed dose distribution, intensity modulated radiation therapy (IMRT) has the potential to improve treatment results of radiotherapy (RT). Postoperative RT is a standard adjuvant treatment in conservative treatment of breast cancer (BC). The aim of this review is to analyze available evidence from randomized controlled trials (RCTs) on IMRT in BC, particularly in terms of reduction of side effects. Methods: A literature search of the bibliographic database PubMed, from January 1990 through November 2016, was performed. Only RCTs published in English were included. Results: Ten articles reporting data from 5 RCTs fulfilled the selection criteria and were included in our review. Three out of 5 studies enrolled only selected patients in terms of increased risk of toxicity. Three studies compared IMRT with standard tangential RT. One study compared the results of IMRT in the supine versus the prone position, and one study compared standard treatment with accelerated partial breast IMRT. Three studies reported reduced acute and/or late toxicity using IMRT compared with standard RT. No study reported improved quality of life. Conclusion: IMRT seems able to reduce toxicity in selected patients treated with postoperative RT for BC. Further analyses are needed to better define patients who are candidates for this treatment modality. Keywords: intensity modulated radiation therapy, breast cancer, literature reviewBuwenge MCammelli SAmmendolia ITolento GZamagni AArcelli AMacchia GDeodato FCilla SMorganti AGDove Medical Pressarticleintensity modulated radiotherapybreast cancerliterature review.Neoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol Volume 9, Pp 121-126 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	intensity modulated radiotherapy breast cancer literature review. Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	intensity modulated radiotherapy breast cancer literature review. Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Buwenge M Cammelli S Ammendolia I Tolento G Zamagni A Arcelli A Macchia G Deodato F Cilla S Morganti AG Intensity modulated radiation therapy for breast cancer: current perspectives
description	Milly Buwenge,1 Silvia Cammelli,1 Ilario Ammendolia,1 Giorgio Tolento,1 Alice Zamagni,1 Alessandra Arcelli,2 Gabriella Macchia,3 Francesco Deodato,3 Savino Cilla,4 Alessio G Morganti1 1Department of Experimental, Diagnostic and Specialty Medicine – DIMES, Radiation Oncology Center, University of Bologna, S.Orsola-Malpighi Hospital, 2Radiation Oncology Unit, Bellaria Hospital, Bologna, 3Radiation Oncology Unit, 4Medical Physics Unit, Research and Care Foundation ‘Giovanni Paolo II,’ Catholic University of Sacred Heart, Campobasso, Italy Background: Owing to highly conformed dose distribution, intensity modulated radiation therapy (IMRT) has the potential to improve treatment results of radiotherapy (RT). Postoperative RT is a standard adjuvant treatment in conservative treatment of breast cancer (BC). The aim of this review is to analyze available evidence from randomized controlled trials (RCTs) on IMRT in BC, particularly in terms of reduction of side effects. Methods: A literature search of the bibliographic database PubMed, from January 1990 through November 2016, was performed. Only RCTs published in English were included. Results: Ten articles reporting data from 5 RCTs fulfilled the selection criteria and were included in our review. Three out of 5 studies enrolled only selected patients in terms of increased risk of toxicity. Three studies compared IMRT with standard tangential RT. One study compared the results of IMRT in the supine versus the prone position, and one study compared standard treatment with accelerated partial breast IMRT. Three studies reported reduced acute and/or late toxicity using IMRT compared with standard RT. No study reported improved quality of life. Conclusion: IMRT seems able to reduce toxicity in selected patients treated with postoperative RT for BC. Further analyses are needed to better define patients who are candidates for this treatment modality. Keywords: intensity modulated radiation therapy, breast cancer, literature review
format	article
author	Buwenge M Cammelli S Ammendolia I Tolento G Zamagni A Arcelli A Macchia G Deodato F Cilla S Morganti AG
author_facet	Buwenge M Cammelli S Ammendolia I Tolento G Zamagni A Arcelli A Macchia G Deodato F Cilla S Morganti AG
author_sort	Buwenge M
title	Intensity modulated radiation therapy for breast cancer: current perspectives
title_short	Intensity modulated radiation therapy for breast cancer: current perspectives
title_full	Intensity modulated radiation therapy for breast cancer: current perspectives
title_fullStr	Intensity modulated radiation therapy for breast cancer: current perspectives
title_full_unstemmed	Intensity modulated radiation therapy for breast cancer: current perspectives
title_sort	intensity modulated radiation therapy for breast cancer: current perspectives
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/f630e42ea370402689a41275eff774c4
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Intensity modulated radiation therapy for breast cancer: current perspectives

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