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FLASH 放疗:癌症放疗领域的新里程碑。

FLASH radiotherapy: A new milestone in the field of cancer radiotherapy.

机构信息

Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610072, Sichuan, China; Division of Thoracic Tumor Multimodality Treatment, Cancer Center, The National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.

Division of Thoracic Tumor Multimodality Treatment, Cancer Center, The National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.

出版信息

Cancer Lett. 2024 Apr 10;587:216651. doi: 10.1016/j.canlet.2024.216651. Epub 2024 Feb 10.

Abstract

Radiotherapy plays a pivotal role in the control and eradication of tumors, but it can also induce radiation injury to surrounding normal tissues while targeting tumor cells. In recent years, FLASH-Radiotherapy (FLASH-RT) has emerged as a cutting-edge research focus in the field of radiation therapy. By delivering high radiation doses to the treatment target in an ultra-short time, FLASH-RT produces the FLASH effect, which reduces the toxicity to normal tissues while achieving comparable tumor control efficacy to conventional radiotherapy. This review provides a brief overview of the development history of FLASH-RT and its impact on tumor control. Additionally, it focuses on introducing the protective effects and molecular mechanisms of this technology on various normal tissues, as well as exploring its synergistic effects when combined with other tumor therapies. Importantly, this review discusses the challenges faced in translating FLASH-RT into clinical practice and outlines its promising future applications.

摘要

放疗在控制和消灭肿瘤方面发挥着关键作用,但在靶向肿瘤细胞的同时,也会对周围正常组织造成辐射损伤。近年来,FLASH 放疗(FLASH-RT)成为放射治疗领域的一个研究热点。FLASH-RT 通过在极短的时间内将高剂量的射线输送到治疗靶点,产生 FLASH 效应,在达到与传统放疗相当的肿瘤控制效果的同时,降低了对正常组织的毒性。本文简要概述了 FLASH-RT 的发展历史及其对肿瘤控制的影响。此外,本文还重点介绍了该技术对各种正常组织的保护作用及其分子机制,探讨了其与其他肿瘤治疗方法联合应用的协同效应。重要的是,本文讨论了将 FLASH-RT 转化为临床实践所面临的挑战,并概述了其有前景的未来应用。

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