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Table of Contents | March, 2020  Vol. 38  No.1 Previous Issue | Next Issue | Archive
In this issue:


Review Article
The emerging role of myeloid-derived suppressor cells in radiotherapy
Changhee Kang, Seong-Yun Jeong, Si Yeol Song, Eun Kyung Choi
Radiat Oncol J. 2020;38(1):1-10.   Published online March 25, 2020
Radiotherapy (RT) has been used for decades as one of the main treatment modalities for cancer patients. The therapeutic effect of RT has been primarily ascribed to DNA damage leading to tumor cell death. Besides direct tumoricidal effect, RT affects antitumor responses through immune-mediated mechanism, which provides a rationale for combining RT and immunotherapy for cancer treatment. Thus far, for...
Original Articles
Clinical Investigation
Intensity-modulated radiation therapy in early stage squamous cell carcinoma of the larynx: treatment trends and outcomes
Rodney E. Wegner, Stephen Abel, John J. Bergin, Athanasios Colonias
Radiat Oncol J. 2020;38(1):11-17.   Published online March 25, 2020

Purpose: Definitive radiotherapy remains a primary treatment option for early stage glottic cancer. Intensity-modulated radiation therapy (IMRT) has emerged as the standard treatment technique for advanced head and neck cancers, whereas three-dimensional conformal radiotherapy (3D-CRT) has remained standard for early glottic cancers. We used the National Cancer Database (NCDB) to identify predictors of IMRT use and effect on outcome in...
Failure patterns of cervical lymph nodes in metastases of unknown origin according to target volume
Dong-Yun Kim, Dae Seog Heo, Bhumsuk Keam, Chan Young Ock, Soon Hyun Ahn, Ji-hoon Kim, Kyeong Cheon Jung, Jin Ho Kim, Hong-Gyun Wu
Radiat Oncol J. 2020;38(1):18-25.   Published online March 30, 2020

Purpose: This study was aim to evaluate the patterns of failure according to radiotherapy (RT) target volume for cervical lymph nodes in metastases of unknown primary origin in head and neck region (HNMUO). Materials and Methods: Sixty-two patients with HNMUO between 1998 and 2016 were retrospectively reviewed. We analyzed the clinical outcomes and primary site failure depending on the radiation target...
Treatment outcome of anaplastic ependymoma under the age of 3 treated by intensity-modulated radiotherapy
Joongyo Lee, Seung Yeun Chung, Jung Woo Han, Dong-Seok Kim, Jina Kim, Jin Young Moon, Hong In Yoon, Chang-Ok Suh
Radiat Oncol J. 2020;38(1):26-34.   Published online March 25, 2020

Purpose: Intensity-modulated radiotherapy (IMRT) allows for more precise treatment, reducing unwanted radiation to nearby structures. We investigated the safety and feasibility of IMRT for anaplastic ependymoma patients below 3 years of age. Materials and Methods: A total of 9 anaplastic ependymoma patients below 3 years of age, who received IMRT between October 2011 and December 2017 were retrospectively reviewed. The median...
Reduced-dose whole-brain radiotherapy with tumor bed boost after upfront high-dose methotrexate for primary central nervous system lymphoma
Tae Hoon Lee, Joo Ho Lee, Ji Hyun Chang, Sung-Joon Ye, Tae Min Kim, Chul-Kee Park, Il Han Kim, Byoung Hyuck Kim, Chan Woo Wee
Radiat Oncol J. 2020;38(1):35-43.   Published online March 25, 2020

Purpose: This retrospective study compares higher-dose whole-brain radiotherapy (hdWBRT) with reduced-dose WBRT (rdWBRT) in terms of clinical efficacy and toxicity profile in patients treated for primary central nervous system lymphoma (PCNSL). Materials and Methods: Radiotherapy followed by high-dose methotrexate (HD-MTX)-based chemotherapy was administered to immunocompetent patients with histologically confirmed PCNSL between 2000 and 2016. Response to chemotherapy was taken into account...
Regional nodal irradiation in pT1-2N1 breast cancer patients treated with breast-conserving surgery and whole breast irradiation
Shin-Hyung Park, Jae-Chul Kim
Radiat Oncol J. 2020;38(1):44-51.   Published online March 25, 2020

Purpose: To evaluate the necessity of regional nodal irradiation (RNI) for pT1-2N1 breast cancer patients treated with breast-conserving surgery and radiotherapy, we compared clinical outcomes of patients treated with and without RNI. Materials and Methods: We retrospectively analyzed the data of 214 pT1-2N1 breast cancer patients treated with breast-conserving surgery and whole breast irradiation from 2009–2016. There were 142 (66.4%), 51...
Physics Contribution
Magnetic resonance image-based tomotherapy planning for prostate cancer
Sang Hoon Jung, Jinsung Kim, Yoonsun Chung, Bilgin Keserci, Hongryull Pyo, Hee Chul Park, Won Park
Radiat Oncol J. 2020;38(1):52-59.   Published online March 27, 2020

Purpose: To evaluate and compare the feasibilities of magnetic resonance (MR) image-based planning using synthetic computed tomography (sCT) versus CT (pCT)-based planning in helical tomotherapy for prostate cancer. Materials and Methods: A retrospective evaluation was performed in 16 patients with prostate cancer who had been treated with helical tomotherapy. MR images were acquired using a dedicated therapy sequence; sCT images were...
Three-dimensional dose reconstruction-based pretreatment dosimetric verification in volumetric modulated arc therapy for prostate cancer
Yuri Jeong, Jeong Geun Oh, Jeong Ku Kang, Sun Rock Moon, Kang Kyoo Lee
Radiat Oncol J. 2020;38(1):60-67.   Published online March 25, 2020

Purpose: We performed three-dimensional (3D) dose reconstruction-based pretreatment verification to evaluate gamma analysis acceptance criteria in volumetric modulated arc therapy (VMAT) for prostate cancer. Materials and Methods: Pretreatment verification for 28 VMAT plans for prostate cancer was performed using the COMPASS system with a dolphin detector. The 3D reconstructed dose distribution of the treatment planning system calculation (TC) was compared with...
Evaluation of the heart and lung dosimetric parameters in deep inspiration breath hold using 3D Slicer
Azam Eskandari, Shahrokh Nasseri, Hamid Gholamhosseinian, Sare Hosseini, Mohammad Javad Keikhai Farzaneh, Alireza Keramati, Maryam Naji, Atefeh Rostami, Mehdi Momennezhad
Radiat Oncol J. 2020;38(1):68-76.   Published online March 12, 2020

Purpose: The present study was conducted to compare dosimetric parameters for the heart and left lung between free breathing (FB) and deep inspiration breath hold (DIBH) and determine the most important potential factors associated with increasing the lung dose for left-sided breast radiotherapy using image analysis with 3D Slicer software. Materials and Methods: Computed tomography-simulation scans in FB and DIBH were...
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