Rapid Communication - Journal of Clinical Oncology and Cancer Research (2023) Volume 6, Issue 3
Radiation Therapy in Cancer Treatment: Targeting Tumors with Precision
Jin Mishra*Department of Radiation Oncology, Jefferson Medical College of Thomas Jefferson University, Pennsylvania, USA
- *Corresponding Author:
- Jin Mishra
Department of Radiation Oncology
Jefferson Medical College of Thomas Jefferson University
Pennsylvania, USA
E-mail: mishra@jeffersonhospital.org
Received: 05-Jun-2023, Manuscript No.AACOCR-23-104457; Editor assigned: 08-Jun-2023, PreQC No.AACOCR-23-104457 (PQ); Reviewed: 22-Jun-2023, QC No.AACOCR-23-104457; Revised: 24-Jun-2023, Manuscript No.AACOCR-23-104457 (R); Published: 28-Jun-2023, DOI:10.35841/aacocr-6.3.155
Citation: Mishra J. Radiation therapy in cancer treatment: Targeting tumors with precision. J Clin Oncol Cancer Res. 2023;6(3):155
Introduction
Radiation therapy, also known as radiotherapy, is a vital component of cancer treatment that utilizes ionizing radiation to destroy cancer cells and shrink tumors. It is a localized treatment modality that can be employed alone or in combination with other treatment modalities, such as surgery and chemotherapy. This article explores the principles, techniques, and advancements in radiation therapy, highlighting its role in cancer treatment and its impact on patient outcomes [1].
Radiation therapy works by delivering ionizing radiation to the tumor site, causing damage to the DNA within cancer cells. This damage disrupts the cells' ability to divide and grow, leading to their destruction. Normal cells surrounding the tumor are also affected, but their ability to repair the damage is generally greater than that of cancer cells. This therapeutic window allows radiation therapy to selectively target cancer cells while minimizing harm to healthy tissues.
a. External Beam Radiation Therapy (EBRT): EBRT is the most common form of radiation therapy. It involves the use of a linear accelerator to generate high-energy X-rays or electrons that are directed externally toward the tumor. Various techniques, such as 3D Conformal Radiation Therapy (3DCRT), Intensity-Modulated Radiation Therapy (IMRT), and Stereotactic Body Radiation Therapy (SBRT), allow for precise delivery of radiation to the tumor while sparing nearby normal tissues.
b. Brachytherapy: Brachytherapy involves the placement of radioactive sources directly into or near the tumor. It can be performed using temporary or permanent implants. This technique allows for a high radiation dose to be delivered to the tumor while minimizing radiation exposure to surrounding healthy tissues [2].
c. Simulation: Before initiating radiation therapy, a simulation session is conducted to precisely determine the treatment area. Imaging techniques, such as Computed Tomography (CT), Magnetic Resonance Imaging (MRI), or Positron Emission Tomography (PET), are used to create a treatment plan tailored to the individual patient's anatomy and tumor characteristics.
d. Treatment Planning: Radiation oncologists, medical physicists, and dosimetrists collaborate to develop a treatment plan that maximizes the radiation dose to the tumor while minimizing exposure to normal tissues. Sophisticated treatment planning systems employ algorithms to optimize beam angles, shape the radiation beam, and calculate the dose distribution within the patient's body [3].
e. Treatment Delivery: During treatment sessions, patients are positioned precisely using immobilization devices to ensure accurate targeting of the tumor. EBRT is typically administered over multiple daily or weekly sessions, while brachytherapy may be completed in a single session or over a few days.
Radiation therapy plays a crucial role in the treatment of various types of cancer, either as a curative or palliative measure. Its applications include.
f. Curative intent: Radiation therapy can be employed with curative intent as the primary treatment for localized cancers, such as early-stage breast, prostate, and lung cancers. It may also be used as an adjuvant treatment following surgery to eliminate remaining cancer cells and reduce the risk of recurrence [4].
g. Palliative care: In advanced or metastatic cancers, radiation therapy can relieve symptoms, such as pain, bleeding, or obstruction, and improve the quality of life for patients. Palliative radiation therapy is often used in cases where complete eradication of cancer is not possible.
h. Combination therapy: Radiation therapy is frequently combined with other treatment modalities, such as surgery and chemotherapy, to enhance treatment efficacy. It can be administered before surgery to shrink tumors (neoadjuvant), after surgery to eliminate residual cancer cells (adjuvant), or concurrently with chemotherapy to increase treatment [5].
Conclusion
It's important to note that the specific details may vary depending on the individual patient's case and the practices of the radiation oncology team. The conclusion is typically communicated to the patient and their healthcare team, guiding the implementation of radiation therapy as part of the comprehensive cancer treatment plan.
References
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- Liu J, Yang Y, Zhu W, et al. Nanoscale metal− organic frameworks for combined photodynamic & radiation therapy in cancer treatment. Biomaterials. 2016;97:1-9.
- Demaria S, Golden EB, Formenti SC. Role of local radiation therapy in cancer immunotherapy. JAMA oncology. 2015;1(9):1325-32.
- Shepard DM, Ferris MC, Olivera GH, et al. Optimizing the delivery of radiation therapy to cancer patients. Siam Review. 1999;41(4):721-44.
- Bryant AK, Banegas MP, Martinez ME, et al. Trends in Radiation Therapy among Cancer Survivors in the United States, 2000–2030Radiation Therapy in Cancer Survivors. Cancer Epidemiol Biomarkers Prev. 2017;26(6):963-70.
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