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儿童中枢神经系统肿瘤的质子治疗。

Proton therapy for central nervous system tumors in children.

机构信息

Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland.

Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts.

出版信息

Pediatr Blood Cancer. 2018 Jul;65(7):e27046. doi: 10.1002/pbc.27046. Epub 2018 Apr 6.

DOI:10.1002/pbc.27046
PMID:29630784
Abstract

Proton therapy is a form of particle therapy with physical properties that provide a superior dose distribution compared to photons. The ability to spare healthy, developing tissues from low dose radiation with proton therapy is well known. The capability to decrease radiation exposure for children has been lauded as an important advance in pediatric cancer care, particularly for central nervous system (CNS) tumors. Favorable clinical outcomes have been reported and justify the increased cost and burden of this therapy. In this review, we summarize the current literature for proton therapy for pediatric CNS malignancies, with a focus on clinical outcomes to date.

摘要

质子治疗是一种粒子治疗形式,其物理特性可提供优于光子的剂量分布。质子治疗能够使健康、发育中的组织免受低剂量辐射的影响,这一点是众所周知的。降低儿童的辐射暴露已被称赞为儿科癌症治疗的重要进展,特别是对于中枢神经系统(CNS)肿瘤。已经报道了良好的临床结果,并证明了这种治疗方法增加的成本和负担是合理的。在这篇综述中,我们总结了目前关于儿童中枢神经系统恶性肿瘤质子治疗的文献,重点是迄今为止的临床结果。

相似文献

1
Proton therapy for central nervous system tumors in children.儿童中枢神经系统肿瘤的质子治疗。
Pediatr Blood Cancer. 2018 Jul;65(7):e27046. doi: 10.1002/pbc.27046. Epub 2018 Apr 6.
2
Proton therapy for the treatment of children with CNS malignancies.质子治疗用于治疗中枢神经系统恶性肿瘤患儿。
CNS Oncol. 2014 Mar;3(2):149-58. doi: 10.2217/cns.14.16.
3
Are further studies needed to justify the use of proton therapy for paediatric cancers of the central nervous system? A review of current evidence.是否需要进一步的研究来证明质子治疗在儿童中枢神经系统癌症中的应用?对现有证据的综述。
Radiother Oncol. 2019 Apr;133:140-148. doi: 10.1016/j.radonc.2019.01.009. Epub 2019 Jan 28.
4
Acute toxicity of proton beam radiation for pediatric central nervous system malignancies.质子束放疗治疗儿童中枢神经系统恶性肿瘤的急性毒性。
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Early Cognitive Outcomes Following Proton Radiation in Pediatric Patients With Brain and Central Nervous System Tumors.小儿脑和中枢神经系统肿瘤质子放疗后的早期认知结果
Int J Radiat Oncol Biol Phys. 2015 Oct 1;93(2):400-7. doi: 10.1016/j.ijrobp.2015.06.012. Epub 2015 Jun 14.
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Mitigating Radiotoxicity in the Central Nervous System: Role of Proton Therapy.减轻中枢神经系统的放射毒性:质子治疗的作用。
Curr Treat Options Oncol. 2023 Nov;24(11):1524-1549. doi: 10.1007/s11864-023-01131-x. Epub 2023 Sep 20.
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Proton therapy for paediatric CNS tumours - improving treatment-related outcomes.质子治疗儿科中枢神经系统肿瘤 - 改善治疗相关结局。
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Treatment of common pediatric CNS malignancies with proton therapy.质子治疗常见小儿中枢神经系统恶性肿瘤
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Current status of proton therapy outcome for paediatric cancers of the central nervous system - Analysis of the published literature.质子治疗儿童中枢神经系统肿瘤的现状——文献分析。
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10
Risk of brainstem necrosis in pediatric patients with central nervous system malignancies after pencil beam scanning proton therapy.儿童中枢神经系统恶性肿瘤患者接受笔形束扫描质子治疗后脑干坏死的风险。
Acta Oncol. 2019 Dec;58(12):1752-1756. doi: 10.1080/0284186X.2019.1659996. Epub 2019 Sep 12.

引用本文的文献

1
The comparison of acute toxicities associated with craniospinal irradiation between photon beam therapy and proton beam therapy in children with brain tumors.颅脊髓放疗中光子与质子射线疗法在脑瘤患儿中的急性毒性比较。
Cancer Med. 2022 Mar;11(6):1502-1510. doi: 10.1002/cam4.4553. Epub 2022 Feb 9.
2
Intensity-modulated ventricular irradiation for intracranial germ-cell tumors: Survival analysis and impact of salvage re-irradiation.调强适形心室放疗治疗颅内生殖细胞瘤:生存分析和挽救性再放疗的影响。
PLoS One. 2019 Dec 20;14(12):e0226350. doi: 10.1371/journal.pone.0226350. eCollection 2019.
3
Effects of Radiation Therapy on Neural Stem Cells.
放射治疗对神经干细胞的影响。
Genes (Basel). 2019 Aug 24;10(9):640. doi: 10.3390/genes10090640.
4
Role of Radiation Therapy in the Management of Diffuse Intrinsic Pontine Glioma: A Systematic Review.放射治疗在弥漫性脑桥内在型胶质瘤管理中的作用:一项系统综述
Adv Radiat Oncol. 2019 Mar 30;4(3):520-531. doi: 10.1016/j.adro.2019.03.009. eCollection 2019 Jul-Sep.
5
Feasibility of Dose Escalation in Patients With Intracranial Pediatric Ependymoma.小儿颅内室管膜瘤患者剂量递增的可行性
Front Oncol. 2019 Jun 21;9:531. doi: 10.3389/fonc.2019.00531. eCollection 2019.
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Medulloblastoma: optimizing care with a multidisciplinary approach.髓母细胞瘤:采用多学科方法优化治疗
J Multidiscip Healthc. 2019 Apr 30;12:335-347. doi: 10.2147/JMDH.S167808. eCollection 2019.
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Increased risk of pseudoprogression among pediatric low-grade glioma patients treated with proton versus photon radiotherapy.质子放疗与光子放疗治疗儿童低级别胶质瘤患者中假性进展风险增加。
Neuro Oncol. 2019 May 6;21(5):686-695. doi: 10.1093/neuonc/noz042.
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Radiotherapy Advances in Pediatric Neuro-Oncology.儿科神经肿瘤学中的放射治疗进展
Bioengineering (Basel). 2018 Nov 4;5(4):97. doi: 10.3390/bioengineering5040097.
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ANALYTICAL MODEL TO ESTIMATE EQUIVALENT DOSE FROM INTERNAL NEUTRONS IN PROTON THERAPY OF CHILDREN WITH INTRACRANIAL TUMORS.估计颅内肿瘤儿童质子治疗中内中子等效剂量的分析模型。
Radiat Prot Dosimetry. 2019 Jun 1;183(4):459-467. doi: 10.1093/rpd/ncy166.