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Table of Contents | December, 2023  Vol. 41  No.4 Previous Issue | Next Issue | Archive
In this issue:




Review Article
Dynamic contrast-enhanced magnetic resonance imaging parameter changes as an early biomarker of tumor responses following radiation therapy in patients with spinal metastases: a systematic review
Rahmad Mulyadi, Pungky Permata Putri, Handoko Handoko, Ramdinal Aviesena Zairinal, Joedo Prihartono
Radiat Oncol J. 2023;41(4):225-236.   Published online October 27, 2023

Purpose: This systematic review aims to assess and summarize the clinical values of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) parameter changes as early biomarkers of tumor responses following radiation therapy (RT) in patients with spinal metastases. Materials and Methods: A systematic search was conducted on five electronic databases: PubMed, Scopus, Science Direct, Cochrane, and Embase. Studies were included if they mentioned...
Original Articles
Radiotherapy dose de-escalation in patients with high grade non-Hodgkin lymphoma in a real-world clinical practice
Budhi Singh Yadav, Treshita Dey
Radiat Oncol J. 2023;41(4):237-247.   Published online September 25, 2023

Purpose: The standard treatment of non-Hodgkin lymphoma (NHL) comprises combined modality treatment, radiotherapy (RT), and chemotherapy with rituximab which has significantly improved both disease-free survival (DFS) and overall survival (OS). However, there is no uniformity in radiation dose usage in these patients. In this retrospective study, we compared lower radiation dose with higher in patients with aggressive NHL. Materials and Methods:...
A comparison of conventional and accelerated hypofractionated radiotherapy in definitive chemoradiation for locally advanced head and neck carcinoma: a retrospective cohort study
Arkaja Tripathy, Sandeep Muzumder, Nirmala Srikantia, Ajay Babu, MG John Sebastian, Avinash H. Udayashankar, Ganesha Dev Vashishta, John Michael Raj
Radiat Oncol J. 2023;41(4):248-257.   Published online October 19, 2023

Purpose: The study evaluates accelerated hypofractionated radiotherapy (AHRT) compared to conventional fractionation radiotherapy (CFRT) in patients with locally advanced head and neck cancer (LAHNC) receiving definitive chemoradiation therapy. Materials and Methods: The study includes a retrospective cohort analysis of 120 patients. CFRT arm (n = 65) received 2 Gy per fraction to a dose of 70 Gy over 7 weeks in...
CyberKnife-based stereotactic radiosurgery or fractionated stereotactic radiotherapy in older patients with brain metastases from non-small cell lung cancer
Jeongshim Lee, Hun Jung Kim, Woo Chul Kim
Radiat Oncol J. 2023;41(4):258-266.   Published online November 28, 2023

Purpose: We analyzed clinical results of CyberKnife (CK)-based stereotactic radiosurgery (SRS) or fractionated stereotactic radiotherapy (FSRT) in older patients (age ≥65 years) affected by brain metastases (BM) from non-small cell lung cancer (NSCLC). Materials and Methods: Forty-three older patients with 92 BM were treated with CK-based SRS/FSRT at our institution between 2009 and 2019. The end-point was overall survival (OS)....
Different approaches to target volume definition and boost delivery in surgery de-escalation clinical trial in breast cancer patients with pathological complete response
Sergey Nikolaevich Novikov, Petr Krivorotko, Zhanna Bryantseva, Irina Akulova, Alexander Emelyanov, Viktoria Mortada, Olga Ponomareva, Pavel Krzhivitskiy, Sergey Kanaev
Radiat Oncol J. 2023;41(4):267-273.   Published online December 15, 2023

Purpose: We evaluate various approaches to target volume definition and boost delivery in patients with complete response to neoadjuvant systemic therapy (NST) who were treated by radiotherapy without a surgery. Materials and Methods: A pathological complete response (pCR) was diagnosed in 21 of 27 patients included in “surgery de-escalation” prospective observation study. Clips were placed in the primary tumor volume...
Pulmonary function and toxicities of proton versus photon for limited-stage small cell lung cancer
Sang Hoon Seo, Hongryull Pyo, Yong Chan Ahn, Dongryul Oh, Kyungmi Yang, Nalee Kim, Jong-Mu Sun, Sehhoon Park, Hyun Ae Jung, Se-Hoon Lee, Jin Seok Ahn, Myung-Ju Ahn, Jae Myoung Noh
Radiat Oncol J. 2023;41(4):274-282.   Published online December 6, 2023

Purpose: We aimed to compare the oncological outcomes and toxicities of definitive proton beam therapy (PBT) and photon beam therapy in patients with limited-stage small cell lung cancer (LS-SCLC). Materials and Methods: We retrospectively reviewed 262 patients with newly diagnosed LS-SCLC who underwent definitive PBT (n = 20; proton group) or photon beam therapy (n = 242; photon group) with concurrent...
Target movement according to cervical lymph node level in head and neck cancer and its clinical significance
Hoon Sik Choi, Bae Kwon Jeong, Hojin Jeong, In Bong Ha, Bong-Hoi Choi, Ki Mun Kang
Radiat Oncol J. 2023;41(4):283-291.   Published online December 20, 2023

Purpose: To evaluate set-up error for head and neck cancer (HNC) patients according to each neck lymph node (LN) level. And clinical factors affecting set-up error were analyzed. Materials and Methods: Reference points (RP1, RP2, RP3, and RP4) representing neck LN levels I to IV were designated. These RP were contoured on simulation computed tomography (CT) and cone-beam CT of 89...
Case Reports
A case of cetuximab-induced radiation recall skin dermatitis and review of the literature
Rachel A. Sabol, Akshat M. Patel, Ali Sabbagh, Chyrstal Wilson, Florence Yuen, Paul Lindenfeld, Rahul Aggarwal, Benjamin Breyer, Osama Mohamad
Radiat Oncol J. 2023;41(4):292-296.   Published online September 14, 2023
Radiation recall presents as an acute inflammatory reaction triggered by systemic therapy, usually chemotherapy, and is typically limited to an area that was previously irradiated. Radiation recall reactions are generally self-limiting and most commonly occur in the skin. Many systemic agents have been described to elicit a radiation recall reaction, but the exact pathogenesis is largely unknown. Here, we describe...
Synchronous radiation-induced enterovesical and enterocervical fistulas in carcinoma of the uterine cervix
Anitha Mandava, Veeraiah Koppula, Meghana Kandati, K. V. V. N. Raju
Radiat Oncol J. 2023;41(4):297-300.   Published online November 27, 2023
Radiation-induced fistulas (RIF) are uncommon therapeutic complications of radiotherapy in patients treated for carcinoma of the uterine cervix. Synchronous occurrence of enterocervical and enterovesical fistulas secondary to radiation is extremely rare and previously unreported in the literature. We report a case of synchronous enterovesical and enterocervical fistulas in a patient with carcinoma of the cervix treated using chemotherapy and radiation...
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