Clinical Application of Radiotherapy in Modern Oncology

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Oncology".

Deadline for manuscript submissions: 30 July 2025 | Viewed by 1356

Special Issue Editors


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Guest Editor
Department of Radiation Oncology, Ludwig-Maximilian University of Munich, 81377 Munich, Germany
Interests: clinical trials; multimodal treatments; malignancies of the thoracic region; SCLC; NSCLC; translational research; radiation-induced side effects; applications

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Guest Editor
1. Department of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany
2. Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany
Interests: online adaptive radiotherapy; MR-guided radiotherapy; malignancies of the thoracic region; SCLC; NSCLC; hyperthermia therapy
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Special Issue Information

Dear Colleagues,

Radiotherapy (RT) is an integral part of modern cancer treatment besides surgery and systemic treatment, including targeted therapy and immune checkpoint inhibition. It can be used in the management of almost all cancers as a curative treatment for palliate symptoms or as a prophylactic treatment. Recent advances, including intensity-modulated RT, volumetric-modulated arc therapy, stereotactic body RT, adaptive RT, MR guidance and modern brachytherapy, have improved radiation targeting, thereby limiting the radiation exposure of healthy tissues.

This Special Issue will cover the following important topics regarding the application of RT in oncology. The topics of interest include, but not restricted to, the following: brain metastasis, bone metastasis, brain tumors, head and neck cancers, lung cancer, mesothelioma, thymoma, thymic carcinoma, breast cancer, prostate cancer and sarcoma.

We look forward to your contributions and advancing our collective knowledge about the role of radiotherapy in modern oncology.

Dr. Lukas Käsmann
Dr. Fabian Weykamp
Guest Editors

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Keywords

  • brain metastasis
  • bone metastasis
  • brain tumors
  • head and neck cancers
  • thoracic oncology
  • breast cancer
  • prostate cancer
  • sarcoma

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Published Papers (1 paper)

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Research

14 pages, 3388 KiB  
Article
Interstitial High-Dose-Rate Brachytherapy Combined with External Beam Radiation Therapy for Dose Escalation in the Primary Treatment of Locally Advanced, Non-Resectable Superior Sulcus (Pancoast) Tumors: Results of a Monocentric Retrospective Study
by Maria Neu, Klaus-Henning Kahl, Melina Körner, Renate Walter, Stephan Raab, Bertram Jehs, Lukas Käsmann, Vratislav Strnad, Georg Stüben and Nikolaos Balagiannis
J. Clin. Med. 2024, 13(24), 7550; https://doi.org/10.3390/jcm13247550 - 11 Dec 2024
Viewed by 886
Abstract
Objectives: To analyze the results of interstitial (IRT) high-dose-rate (HDR) brachytherapy (BT) in the primary treatment of patients with unresectable superior sulcus tumors (SST) combined with external beam radiotherapy (EBRT). Methods: Between 2013 and 2023, seven patients with unresectable SST were [...] Read more.
Objectives: To analyze the results of interstitial (IRT) high-dose-rate (HDR) brachytherapy (BT) in the primary treatment of patients with unresectable superior sulcus tumors (SST) combined with external beam radiotherapy (EBRT). Methods: Between 2013 and 2023, seven patients with unresectable SST were treated with combined BT and EBRT with or without concomitant chemotherapy. The patients’ median age was 64 years (range, 49–79 years) and median tumor volume was 146.8 cm3 (range, 29.3–242.3 cm3). A median BT dose of 8 Gray (Gy) (range, 5–10 Gy) was prescribed and delivered in a single fraction. A median EBRT dose of 54 Gy (range, 30–59 Gy) was prescribed and administered normofractionated (single dose: 1.8 Gy). Results: We report the results of seven patients with SST treated with combined BT and EBRT and followed for a median of 38 months. The overall clinical response rate was 83.33% with five out of six patients achieving local control, while one out of six (16.66%) showed local and general progression. No deaths were attributed to the treatment itself; rather, one patient died during the course of therapy as a result of systemic progression. The most common radiation-related adverse events were grade I–II fatigue and mild paresthesia. No severe toxicity (CTCAE ≥ III°) was observed with interstitial high-dose-rate (HDR) BT combined with EBRT. Conclusions: For patients with unresectable superior sulcus tumors, interstitial HDR BT in combination with EBRT is a feasible treatment option that offers the potential for local control and long-term survival. The findings of this study should be validated in a larger patient cohort. Full article
(This article belongs to the Special Issue Clinical Application of Radiotherapy in Modern Oncology)
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