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Integrating hyperthermia into modern radiation oncology: What evidence is necessary?
Front. Oncol. 7:132 (2017)
Hyperthermia (HT) is one of the hot topics that have been discussed over decades. However, it never made its way into primetime. The basic biological rationale of heat to enhance the effect of radiation, chemotherapeutic agents, and immunotherapy is evident. Preclinical work has confirmed this effect. HT may trigger changes in perfusion and oxygenation as well as inhibition of DNA repair mechanisms. Moreover, there is evidence for immune stimulation and the induction of systemic immune responses. Despite the increasing number of solid clinical studies, only few centers have included this adjuvant treatment into their repertoire. Over the years, abundant prospective and randomized clinical data have emerged demonstrating a clear benefit of combined HT and radiotherapy for multiple entities such as superficial breast cancer recurrences, cervix carcinoma, or cancers of the head and neck. Regarding less investigated indications, the existing data are promising and more clinical trials are currently recruiting patients. How do we proceed from here? Preclinical evidence is present. Multiple indications benefit from additional HT in the clinical setting. This article summarizes the present evidence and develops ideas for future research.
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Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Review
Schlagwörter
Hyperthermia ; Infrared-a ; Radiation Oncology ; Reirradiation ; Thermoradiotherapy
ISSN (print) / ISBN
2234-943X
e-ISSN
2234-943X
Zeitschrift
Frontiers in Oncology
Quellenangaben
Band: 7,
Artikelnummer: 132
Verlag
Frontiers
Nichtpatentliteratur
Publikationen
Begutachtungsstatus
Peer reviewed
Institut(e)
Institute of Radiation Medicine (IRM)