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Number of results
2011 | 17 | 2 | 75-84

Article title

Dosimetric comparison of three dimensional conformal radiotherapy and intensity modulated radiotherapy in high grade gliomas

Content

Title variants

Languages of publication

EN

Abstracts

EN
Treatment of high-grade gliomas continues to be frustrating for the clinician as the medial survival stands at a dismal 14.5 months for glioblastoma multiforme (GBM) with the current standard of care. Given the high dose and generous margins required to be irradiated, three dimensional conformal radiotherapy (3DCRT) has become standard practice. Radiation dose escalation beyond 60 Gy, by means of stereotactic or intensity modulated radiotherapy (IMRT) boost, has not yielded clinically significant benefits in terms of local control or survival. At the same time, the potential of IMRT to spare normal tissues such as the brain stem and the optic apparatus makes it an attractive tool for modern radiation oncologists in seeking to improve post-radiotherapy quality of life. At our centre, we have been treating a large number of cases of high grade glioma with 3DCRT and IMRT for the last several years. The present study has been an effort to understand any potential benefits that IMRT, even without dose escalation, can offer.

Keywords

Publisher

Year

Volume

17

Issue

2

Pages

75-84

Physical description

Dates

published
1 - 1 - 2011
online
15 - 2 - 2012

Contributors

author
  • Department of Radiation Oncology & Medical Physics, Advanced Medicare & Research Institute (AMRI) Cancer Centre, Advanced Medicare & Research Institute (AMRI) Hospitals, Kolkata, India
  • Department of Radiotherapy, Westbank Hospital, Andul Road, Howrah-711109, India
author
  • Department of Radiotherapy, Westbank Hospital, Andul Road, Howrah-711109, India
  • Department of Radiation Oncology & Medical Physics, Advanced Medicare & Research Institute (AMRI) Cancer Centre, Advanced Medicare & Research Institute (AMRI) Hospitals, Kolkata, India

References

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  • Hermanto U, Frija EK, Lii M-FJ. Intensity- modulated radiotherapy (IMRT) and conventional three-dimensional conformal radiotherapy for high-grade gliomas: Does IMRT increase the integral dose to the normal brain? Int J Radiat Oncol Biol Phys (2007) 67;4:1135-1144.[Crossref][PubMed]
  • Chan MF, Schupak K, Burman C, et al. Comparison of intensity modulated radiotherapy with three-dimensional conformal radiation planning for glioblastoma multiformae. Medical Dosimetry (2003) 28;4:261-265.[Crossref]
  • MacDonald SM, Ahamad S, Kachris S. Intensity modulated radiotherapy versus three-dimensional conformal radiation therapy for the treatment of high grade glioma: a dosimetric comparison. J of Applied Med Phys (2007) 8;2: 47-60.
  • Iuchi T, Hatano K, Narita Y, et al. Hypofractionated high-dose irradiation for the treatment of malignant astrocytomas using simultaneous integrated boost technique by IMRT. Int J Radiat Oncol Biol Phys. 2006; 64:1317-1324.[PubMed]
  • Panet-Raymond V, Souhami L, Roberge D, et al. Accelerated hypofractionated intensity-modulated radiotherapy with concurrent and adjuvant temozolomide for patients with glioblastoma multiforme: A safety and efficacy analysis. Int J Radiat Oncol Biol Phys. 2009; 73:473-478.

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_v10013-011-0008-1
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