放射性毒性:机制,管理和未来的方向
Ioannis I Verginadis1, Deborah E Citrin2, Bonnie Ky3
1Department of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Lancet (London, England)
|January 19, 2025
概括
放射治疗提供精确的癌症治疗, 本综述涵盖了改善患者结果的毒性机制,监测和缓解策略.
科学领域:
- 癌症学
- 辐射瘤学
- 医学物理
背景情况:
- 放射治疗是癌症治疗的基石,
- 技术进步提高了对瘤的剂量传递精度,旨在避免健康的器官处于危险之中.
- 尽管取得了进展,但对健康组织的长期毒性影响仍然是一个重大的临床挑战.
研究的目的:
- 审查放射治疗的急性和长期副作用的常见机制.
- 讨论放射治疗幸存者的监测策略.
- 探索缓解策略,包括新技术,患者选择和咨询.
主要方法:
- 文献综述放射治疗引起的毒性机制.
- 讨论当前和新兴的监测和管理策略.
- 对减少毒性的政策和创新方法的分析.
主要成果:
- 确定导致急性和长期副作用的常见机制.
- 对放射治疗幸存者的监测策略概述.
- 探索新技术和患者管理方法以减轻毒性.
结论:
- 有效管理放射性毒性需要了解机制,实施强有力的监测,并采用先进的缓解策略.
- 新兴技术有望提高处理的合规性和准确性,进一步降低非目标效应.
- 为了最大限度地减少毒性严重程度和影响,全面的患者选择,咨询和政策制定至关重要.
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