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J Gastrointest Oncol. 2016 Jun;7(3):479-86. doi: 10.21037/jgo.2015.10.01.

Stereotactic body radiotherapy for the pancreas: a critical review for the medical oncologist.

Journal of gastrointestinal oncology

Samuel K Kim, Cheng-Chia Wu, David P Horowitz

Affiliations

  1. Department of Radiation Oncology, New York Presbyterian Hospital, Columbia University Medical Center, New York, NY 10032, USA.

PMID: 27284482 PMCID: PMC4880784 DOI: 10.21037/jgo.2015.10.01

Abstract

With recent advances in imaging modalities and radiation therapy, stereotactic body radiotherapy (SBRT) has allowed for the delivery of high doses of radiation with accuracy and precision. As such, SBRT has generated favorable results in the treatment of several cancers. Although the role of radiation has been controversial for the treatment of pancreatic ductal adenocarcinoma (PDAC) due to rather lackluster results in clinical trials, SBRT may offer improved outcomes, enhance the quality of life, and aid in palliative care settings for PDAC patients. This review delineates the role of SBRT in the treatment of PDAC, presents the defining principles of radiation biology and the radiation oncology work flow, and discusses the prospects of new treatment regimens involving tumor immunology and radiation therapy.

Keywords: Pancreatic ductal adenocarcinoma (PDAC); radiation oncology; radiotherapy; stereotactic body radiotherapy (SBRT)

References

  1. Cancer. 2015 Apr 1;121(7):1128-37 - PubMed
  2. Cancer Metastasis Rev. 2015 Jun;34(2):319-31 - PubMed
  3. J Surg Res. 2012 May 15;174(2):319-25 - PubMed
  4. Clin Cancer Res. 2011 Nov 1;17(21):6888-96 - PubMed
  5. Radiother Oncol. 2005 Jul;76(1):48-53 - PubMed
  6. Lancet Oncol. 2013 Oct;14(11):1104-11 - PubMed
  7. J Gastrointest Oncol. 2011 Sep;2(3):157-67 - PubMed
  8. JAMA. 2010 Mar 17;303(11):1070-6 - PubMed
  9. Vopr Onkol. 2015 ;61(1):121-4 - PubMed
  10. Thromb Res. 2010 Apr;125 Suppl 2:S134-7 - PubMed
  11. Am J Clin Oncol. 2009 Aug;32(4):364-8 - PubMed
  12. Gastroenterol Clin North Am. 2012 Mar;41(1):223-35 - PubMed
  13. N Engl J Med. 2015 May 21;372(21):2006-17 - PubMed
  14. Front Oncol. 2014 Oct 08;4:274 - PubMed
  15. Med Phys. 2005 Apr;32(4):942-51 - PubMed
  16. Int J Radiat Oncol Biol Phys. 2005 Oct 1;63(2):320-3 - PubMed
  17. J Natl Cancer Inst. 2008 Jun 4;100(11):773-83 - PubMed
  18. Lancet. 2004 Mar 27;363(9414):1049-57 - PubMed
  19. J Gastrointest Oncol. 2014 Jun;5(3):190-7 - PubMed
  20. Int J Radiat Oncol Biol Phys. 2014 Nov 15;90(4):918-25 - PubMed
  21. Radiother Oncol. 2008 Jun;87(3):339-42 - PubMed
  22. Eur J Gastroenterol Hepatol. 2015 Mar;27(3):259-64 - PubMed
  23. Cancer Med. 2015 Jul;4(7):1051-9 - PubMed
  24. Cancer Immunol Res. 2013 Dec;1(6):365-72 - PubMed
  25. Int J Radiat Oncol Biol Phys. 2011 Sep 1;81(1):181-8 - PubMed
  26. Cancer. 2009 Feb 1;115(3):665-72 - PubMed
  27. Ann Oncol. 2014 Sep;25(9):1750-5 - PubMed
  28. Clin Cancer Res. 2007 Apr 1;13(7):2082-90 - PubMed
  29. Med Dosim. 2007 Summer;32(2):92-101 - PubMed
  30. Lung Cancer. 2014 Nov;86(2):231-6 - PubMed
  31. Int J Radiat Oncol Biol Phys. 2012 Nov 15;84(4):e469-74 - PubMed
  32. Int J Radiat Oncol Biol Phys. 1991 May 15;21(1):109-22 - PubMed
  33. Ann Surg Oncol. 2015 Jul;22(7):2352-8 - PubMed
  34. Lancet Oncol. 2015 Apr;16(4):375-84 - PubMed
  35. Int J Radiat Oncol Biol Phys. 2013 Mar 15;85(4):1090-5 - PubMed
  36. Am Soc Clin Oncol Educ Book. 2014;:e157-64 - PubMed
  37. CA Cancer J Clin. 2015 Jan-Feb;65(1):5-29 - PubMed
  38. Endoscopy. 2010 May;42(5):423-5 - PubMed
  39. Int J Radiat Oncol Biol Phys. 2004 Mar 15;58(4):1017-21 - PubMed
  40. Br J Radiol. 2015 Apr;88(1048):20140712 - PubMed
  41. Lancet Oncol. 2015 Jul;16(7):795-803 - PubMed
  42. Radiother Oncol. 2009 Aug;92 (2):231-7 - PubMed
  43. Diagn Pathol. 2015 Jun 26;10:79 - PubMed
  44. Semin Radiat Oncol. 2014 Apr;24(2):140-7 - PubMed
  45. N Engl J Med. 2015 May 21;372(21):2018-28 - PubMed
  46. Cancer Radiother. 2014 Jul-Aug;18(4):332-6 - PubMed
  47. Int J Radiat Oncol Biol Phys. 2008 Nov 1;72 (3):678-86 - PubMed
  48. Int J Radiat Oncol Biol Phys. 2010 Nov 1;78(3):735-42 - PubMed
  49. Int J Colorectal Dis. 2013 Dec;28(12):1707-13 - PubMed
  50. Cancer Immunol Res. 2014 Sep;2(9):831-8 - PubMed
  51. Gastrointest Endosc. 2010 Jun;71(7):1178-84 - PubMed
  52. Cancer Res. 2008 Feb 1;68(3):918-26 - PubMed
  53. N Engl J Med. 2012 Mar 8;366(10 ):925-31 - PubMed
  54. Cancer Res. 2001 Nov 15;61(22):8135-42 - PubMed

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