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Related Concept Videos

Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...

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Related Experiment Video

Updated: Jun 2, 2026

The Clinical Application of Tumor Treating Fields Therapy in Glioblastoma
08:00

The Clinical Application of Tumor Treating Fields Therapy in Glioblastoma

Published on: April 16, 2019

Malignant gliomas treated with split course radiotherapy plus chemotherapy.

K Mineura1, K Watanabe, M Kowada

  • 1AKITA UNIV HOSP,DEPT RADIOL,AKITA,JAPAN.

International Journal of Oncology
|May 17, 2011
PubMed
Summary

Split course radiotherapy combined with chemotherapy did not significantly improve survival for malignant gliomas compared to continuous radiotherapy. Survival outcomes for malignant astrocytoma and glioblastoma multiforme remain similar across treatment groups.

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PET and MRI Guided Irradiation of a Glioblastoma Rat Model Using a Micro-irradiator

Published on: December 28, 2017

Area of Science:

  • Neuro-oncology
  • Radiation Oncology
  • Medical Oncology

Background:

  • Malignant gliomas, including astrocytoma and glioblastoma multiforme, are aggressive brain tumors.
  • Optimal treatment strategies for malignant gliomas are continuously being investigated to improve patient survival.

Purpose of the Study:

  • To evaluate the efficacy of combined modality treatment using split-course radiotherapy (sRT) with nimustine hydrochloride (ACNU) and tegafur (FT) in adult patients with supratentorial malignant gliomas.
  • To compare the survival outcomes of this combined modality approach against historical controls receiving continuous-course radiotherapy (cRT) with or without chemotherapy.

Main Methods:

  • A cohort of 25 adult patients with histologically verified supratentorial malignant gliomas received postoperative sRT (30 Gy whole brain followed by a 50-60 Gy boost) combined with ACNU and FT.
  • Treatment outcomes were compared to historical control groups who received cRT alone or with chemotherapy prior to 1979 and after 1986.
  • Kaplan-Meier survival analysis and the generalized Wilcoxon test were employed for statistical comparison.

Main Results:

  • The median survival time (MST) for patients receiving sRT plus chemotherapy was 18 months.
  • Historical control groups showed MSTs of 12 months for cRT alone and 13 months for cRT plus chemotherapy.
  • No statistically significant differences in survival curves were observed between the sRT plus chemotherapy group and the cRT control groups.

Conclusions:

  • The combined modality treatment of split-course radiotherapy with nimustine hydrochloride and tegafur did not demonstrate a significant survival benefit over continuous-course radiotherapy for supratentorial malignant gliomas.
  • Patient age, Karnofsky performance status, and tumor histology were identified as significant prognostic factors influencing survival in malignant glioma patients.