Search results for " RADIOTHERAPY"

Re-irradiation With Carbon Ion Radiotherapy for Pelvic Rectal Cancer Recurrences in Patients Previously Irradiated to the Pelvis

2020

Background/Aim: Re-irradiation of locally recurrent rectal cancer poses challenges due to the proximity of critical organs, such as the bowel. This study aimed at evaluating the safety and efficacy of re-irradiation with Carbon Ion Radiotherapy (CIRT) in rectal cancer patients with local recurrence. Patients and Methods: Between 2014 and 2018, 14 patients were treated at the National Center of Oncological Hadrontherapy (CNAO Foundation) with CIRT for locally recurrent rectal cancer. Results: All patients concluded the treatment. No G≥3 acute/late reaction nor pelvic infections were observed. The 1-year and 2-year local control rates were, 78% and 52%, respectively, and relapse occurred clos…

Sviluppo e Applicazioni di nuovi materiali per la dosimetria delle radiazioni ionizzanti

The Research Activities carried out during the Three-year International PhD Course in Applied Physics of the candidate Salvatore Gallo had two main topics related to dosimetry of ionizing radiations (IR): the analysis of 3D gel dosimeters and the analysis of solid state dosimeters through electron spin resonance. Both these activities are focused on a careful study of new materials for the IR Dosimetry, both in terms of physical characterization of these new materials and of the optimization of readout methods for dosimetric measurements. The study performed through various techniques such as UV-Vis absorption spectroscopy, NMR Relaxometry, Magnetic Resonance Imaging (MRI) and Electron Spin…

A Graph-Based Method for PET Image Segmentation in Radiotherapy Planning: A Pilot Study

2013

Target volume delineation of Positron Emission Tomography (PET) images in radiation treatment planning is challenging because of the low spatial resolution and high noise level in PET data. The aim of this work is the devel- opment of an accurate and fast method for semi-automatic segmentation of me- tabolic regions on PET images. For this purpose, an algorithm for the biological tumor volume delineation based on random walks on graphs has been used. Va- lidation was first performed on phantoms containing spheres and irregular in- serts of different and known volumes, then tumors from a patient with head and neck cancer were segmented to discuss the clinical applicability of this algo- rith…

ORAL MUCOSITIS

2010

The standard treatment for malignant neoplasia of the cervicofacial area is surgery in association with radio- and/or chemotherapy. These therapies can cause local and systemic complications. Mucositis is the most common dosecorrelated complication to the oral cavity. It is particularly difficult to treat in patients who are already physically and psychologically exhausted by the tumoral pathology. This study illustrates, through a review of the literature, the attack rate, the pathogenesis and the clinical course of the mucositis, as well as the correct dental approach and clinical- therapeutic management of these patients, with the aim of improving the quality of their lives.

Stereotactic Radiosurgery of Deeply Seated Low Grade Gliomas

1994

The authors report the results of a series of 16 cases of low-grade gliomas in whom radiosurgery was performed. This series started in 1977. All the tumours received a single radiosurgical session (with a mean dose of 21.7 Gy, 5–10mm. collimator; one patient received two sessions and in another patient two different targets were irradiated in the same session). Prior to radiosurgery, six patients received conventional external fractionated radiotherapy, with two lateral fields of up to 10 × 10 cm. and a mean dose of 55.1 Gy. and another six patients with tumours less than 5 cm. in diameter, received stereotactic radiotherapy using four fields of up to 5 × 5 cm. and a mean dose of 53.1 Gy. I…

Determination of consensus kQ values for megavoltage photon beams for the update of IAEA TRS-398

2020

The IAEA is currently coordinating a multi-year project to update the TRS-398 Code of Practice for the dosimetry of external beam radiotherapy based on standards of absorbed dose to water. One major aspect of the project is the determination of new beam quality correction factors, kQ, for megavoltage photon beams consistent with developments in radiotherapy dosimetry and technology since the publication of TRS-398 in 2000. Specifically, all values must be based on, or consistent with, the key data of ICRU Report 90. Data sets obtained from Monte Carlo (MC) calculations by advanced users and measurements at primary standards laboratories have been compiled for 23 cylindrical ionization chamb…

Available evidence on re-irradiation with stereotactic ablative radiotherapy following high-dose previous thoracic radiotherapy for lung malignancies

2015

Patients affected with intra-thoracic recurrences of primary or secondary lung malignancies after a first course of definitive radiotherapy have limited therapeutic options, and they are often treated with a palliative intent. Re-irradiation with stereotactic ablative radiotherapy (SABR) represents an appealing approach, due to the optimized dose distribution that allows for high-dose delivery with better sparing of organs at risk. This strategy has the goal of long-term control and even cure. Aim of this review is to report and discuss published data on re-irradiation with SABR in terms of efficacy and toxicity. Results indicate that thoracic re-irradiation may offer satisfactory disease c…

Generator-Based Radiopharmaceuticals for PET Dosimetry Before, During, and After Endoradiotherapy

2014

Generator-derived radionuclides for PET/CT imaging are promising for optimizing targeted radiotherapy by an individual patient-based approach, applying pre-therapeutic evaluation, dosimetric calculations, and for measuring treatment response after radionuclide therapy. To realize this vision, sophisticated nuclear chemistry and radiopharmaceutical chemistry should coincide with quantitative molecular imaging and dosimetric calculations.

Generator-based PET radiopharmaceuticals for molecular imaging of tumours: on the way to THERANOSTICS.

2011

Generator-derived radionuclides for PET/CT imaging are promising for optimizing targeted radiotherapy by an individual patient-based approach, applying pre-therapeutic evaluation, as well as dosimetric calculations, and for measuring treatment response after radionuclide therapy.

Perioperative morbidity and rate of upstaging after laparoscopic staging for patients with locally advanced cervical cancer: results of a prospective…

2015

Objective The International Federation of Gynecology and Obstetrics (FIGO) staging for cervical cancer is based on clinical examination. Previous studies have demonstrated significant upstaging with surgical staging. However, no randomized trial has ever shown a survival benefit when radiation combined with chemoradiation (RCTX) is modified according to surgical staging. The objective of the study was to evaluate the feasibility and outcomes of surgical staging prior to radical RCTX treatment among patients with locally advanced cervical cancer in the setting of a larger, prospective, randomized study (the Uterus-11 study of the German Gynecologic Oncology Group). Study Design Between 2009 …