Advances in Precision Medicine of Oncology Radiotherapy

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Methodology, Drug and Device Discovery".

Deadline for manuscript submissions: 15 December 2026 | Viewed by 1456

Special Issue Editors


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Guest Editor
Department of Clinical and Experimental Medicine, University of Messina, 98100 Messina, Italy
Interests: radiotherapy; oncology; drug treatment; immunotherapy

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Guest Editor
Radiation Oncology Unit, Department of Biomedical, Dental and Morphological and Functional Imaging Sciences, University of Messina, 98122 Messina, Italy
Interests: radiation therapy; oncology; head and neck cancer; breast cancer; uterine cancer

Special Issue Information

Dear Colleagues,

Radiation is one of the most effective therapies to cure cancer. It is estimated that approximately 60% of cancer pa-tients will receive radiotherapy for curative, adjuvant, neo-adjuvant, or palliative purposes during the course of their disease. Advancements in anti-cancer treatments have resulted in significant progress in the field of oncology, thereby enhancing treatment outcomes. This progress has yielded substantial benefits, encompassing enhanced disease management, prolonged survival rates, and the improvement in patients' quality of life.

The aforementioned benefits were observed across both patients with localised disease and those with advanced disease, including those who experienced a relapse following initial treatment regimens. Special attention is now directed towards patients identified as oligo-metastatic, who are considered part of the category of stage IV patients and were previously deemed incurable. These patients have shown benefits from integrated treatment regimens that incorporate new-generation drugs (biotherapeutics, immunotherapeutics) in conjunction with local treatments such as radiotherapy. This combination has also resulted in a substantial improvement in overall survival rates.

A number of studies are ongoing, investigating new radiation techniques and alternative schedules for delivering doses, with the aim of improving the therapeutic window. Investigations into the radiobiological principles of radiotherapy have resulted in a more comprehensive understanding of its mechanisms. Furthermore, the identification of possible radiation schedules adapted to treat both different tumour histotypes and tumour subvolumes is advancing. Another aspect that should be considered is the potential impact of low-dose radiation on the immune system. It has been established that doses of up to 3 Gy can stimulate immune cell activation, thereby enhancing the efficacy of immunotherapeutic interventions. 

Moreover, omics approaches have great potential in radiation research. They can provide new ways to diagnose and study disease progression or relapse.

This Special Issue will provide a comprehensive overview of the effects of radiotherapy combined with new systemic treatments, including target agents and immunotherapy. In addition, it will examine the feasibility of using modified dose fractionation schemes to kill cancer cells and boost the immune system. Possible topics for discussion in this Special Issue include predictive biomarkers, quality of life during cancer treatment, technical advances in radiotherapy, and new diagnostic methodologies that could be used to personalise therapies and predict outcomes.

We welcome the latest research articles and comprehensive reviews about all aspects of oncology radiotherapy.

Dr. Giuseppe Iatí
Dr. Silvana Parisi
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Personalized Medicine is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • novel radiotherapy approaches
  • novel drugs
  • novel diagnostic approaches
  • immunomodulation
  • omics
  • biomarkers
  • metabolic alterations
  • personalised medicine

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Published Papers (1 paper)

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Review

13 pages, 1125 KB  
Review
Partially Ablative Radiotherapy for Bulky Tumors: A Narrative Review of a Developing Concept
by Savino Cilla, Costanza Maria Donati, Milly Buwenge, Gabriella Macchia, Francesco Deodato, Silvia Cammelli and Alessio Giuseppe Morganti
J. Pers. Med. 2025, 15(11), 533; https://doi.org/10.3390/jpm15110533 - 3 Nov 2025
Viewed by 922
Abstract
The management of large bulky tumors is very challenging. The current treatment options for effective palliation of symptoms are limited. These tumors often present a large burden at the time of diagnosis, growing along critical bony and neural structures and preventing surgical resection [...] Read more.
The management of large bulky tumors is very challenging. The current treatment options for effective palliation of symptoms are limited. These tumors often present a large burden at the time of diagnosis, growing along critical bony and neural structures and preventing surgical resection in most of the cases. These tumors are also known to be relatively resistant to chemotherapy, with very low response rates. In addition, conventional photon-based radiotherapy has a limited effect due to their radioresistance, the use of large treatment fields, and the impossibility of delivering high doses because of the higher risk of normal tissue toxicity. Therefore, more effective radiation treatments for palliation are needed to achieve greater local control rates. A recent approach called partial ablative radiotherapy (PART) has been shown to be potentially able to improve the effectiveness of radiotherapy. This technique is based on the ability of recent advanced delivery techniques to deliver a high “ablative” dose to the central part of the tumor, maintaining a very low and safe dose profile at the periphery to spare the surrounding organs at risk. Although this technique has been evaluated only in small studies and case reports, it showed notable treatment responses and safety profiles. The present narrative review describes the rationale for PART, the current and forthcoming state of evidence, the existing studies, and the future directions for the development of this approach, including the associated challenges. Full article
(This article belongs to the Special Issue Advances in Precision Medicine of Oncology Radiotherapy)
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