Chapter title |
Personalized Radiation Therapy (PRT) for Lung Cancer.
|
---|---|
Chapter number | 10 |
Book title |
Lung Cancer and Personalized Medicine: Novel Therapies and Clinical Management
|
Published in |
Advances in experimental medicine and biology, December 2015
|
DOI | 10.1007/978-3-319-24932-2_10 |
Pubmed ID | |
Book ISBNs |
978-3-31-924931-5, 978-3-31-924932-2
|
Authors |
Jin, Jian-Yue, Kong, Feng-Ming Spring, Jian-Yue Jin Ph.D., Feng-Ming (Spring) Kong M.D., Ph.D., Jian-Yue Jin, Feng-Ming (Spring) Kong |
Editors |
Aamir Ahmad, Shirish M. Gadgeel |
Abstract |
This chapter reviews and discusses approaches and strategies of personalized radiation therapy (PRT) for lung cancers at four different levels: (1) clinically established PRT based on a patient's histology, stage, tumor volume and tumor locations; (2) personalized adaptive radiation therapy (RT) based on image response during treatment; (3) PRT based on biomarkers; (4) personalized fractionation schedule. The current RT practice for lung cancer is partially individualized according to tumor histology, stage, size/location, and combination with use of systemic therapy. During-RT PET-CT image guided adaptive treatment is being tested in a multicenter trial. Treatment response detected by the during-RT images may also provide a strategy to further personalize the remaining treatment. Research on biomarker-guided PRT is ongoing. The biomarkers include genomics, proteomics, microRNA, cytokines, metabolomics from tumor and blood samples, and radiomics from PET, CT, SPECT images. Finally, RT fractionation schedule may also be personalized to each individual patient to maximize therapeutic gain. Future PRT should be based on comprehensive considerations of knowledge acquired from all these levels, as well as consideration of the societal value such as cost and effectiveness. |
X Demographics
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Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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United States | 1 | 3% |
Unknown | 38 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 9 | 23% |
Researcher | 6 | 15% |
Student > Doctoral Student | 4 | 10% |
Student > Bachelor | 3 | 8% |
Student > Master | 3 | 8% |
Other | 8 | 21% |
Unknown | 6 | 15% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 13 | 33% |
Biochemistry, Genetics and Molecular Biology | 3 | 8% |
Unspecified | 2 | 5% |
Agricultural and Biological Sciences | 2 | 5% |
Computer Science | 2 | 5% |
Other | 7 | 18% |
Unknown | 10 | 26% |