Baumann Michael, Ebert Nadja, Kurth Ina, Bacchus Carol, Overgaard Jens
German Cancer Research Center (DKFZ), Heidelberg, Germany.
OncoRay-National Center for Radiation Research in Oncology, Medical Faculty and University Hospital Carl Gustav Carus, Technische Universität Dresden, Germany.
Mol Oncol. 2020 Jul;14(7):1577-1585. doi: 10.1002/1878-0261.12731. Epub 2020 Jun 30.
The number of newly diagnosed cancers per year is predicted to almost double in the next two decades worldwide, and it remains unclear if and when this alarming trend will level off or even reverse. As such, cancer is very likely to continue to pose a major threat to human health. Radiation oncology is an indispensable pillar of cancer treatment and a well-developed discipline. Nevertheless, key trends in cancer research and care, including improved primary prevention, early detection, integrated multidisciplinary approaches, personalized strategies at all levels of care, value-based assessments of healthcare systems, and global health perspectives, will all shape the future of radiation oncology. Broader scientific advances, such as rapid progress in digitization, automation, and in our biological understanding of cancer, as well as the wider societal view of healthcare systems will also influence radiation oncology and how it is practiced. To stimulate a proactive discussion on how to adapt and reshape our discipline, this review provides some predictions on what the role and practice of radiation oncology might look like in 30 years' time.
预计在未来二十年里，全球每年新确诊的癌症病例数量将几乎翻倍，目前尚不清楚这一惊人趋势是否以及何时会趋于平稳甚至逆转。因此，癌症很可能继续对人类健康构成重大威胁。放射肿瘤学是癌症治疗中不可或缺的支柱，也是一门成熟的学科。然而，癌症研究与治疗的关键趋势，包括改进一级预防、早期检测、综合多学科方法、各级护理中的个性化策略、基于价值的医疗系统评估以及全球健康视角，都将塑造放射肿瘤学的未来。更广泛的科学进展，如数字化、自动化方面的快速进步以及我们对癌症生物学理解的加深，还有社会对医疗系统更广泛的看法，也将影响放射肿瘤学及其实践方式。为了激发关于如何调整和重塑我们学科的积极讨论，本综述对三十年后放射肿瘤学的作用和实践可能是什么样做出了一些预测。
