Cancers, Vol. 12, Pages 1533: Modern Radiotherapy for Pediatric Brain Tumors

Cancers, Vol. 12, Pages 1533: Modern Radiotherapy for Pediatric Brain Tumors Cancers doi: 10.3390/cancers12061533 Authors: Nicholas J. DeNunzio Torunn I. Yock Cancer is a leading cause of death in children with tumors of the central nervous system, the most commonly encountered solid malignancies in this population. Radiotherapy (RT) is an integral part of managing brain tumors, with excellent long-term survival overall. The tumor histology will dictate the volume of tissue requiring treatment and the dose. However, radiation in developing children can yield functional deficits and/or cosmetic defects and carries a risk of second tumors. In particular, children receiving RT are at risk for neurocognitive effects, neuroendocrine dysfunction, hearing loss, vascular anomalies and events, and psychosocial dysfunction. The risk of these late effects is directly correlated with the volume of tissue irradiated and dose delivered and is inversely correlated with age. To limit the risk of developing these late effects, improved conformity of radiation to the target volume has come from adopting a volumetric planning process. Radiation beam characteristics have also evolved to achieve this end, as exemplified through development of intensity modulated photons and the use of protons. Understanding dose limits of critical at-risk structures for different RT modalities is evolving. In this review, we discuss the physical basis of the most common RT modalities used to treat pedia...
Source: Cancers - Category: Cancer & Oncology Authors: Tags: Review Source Type: research