Proton beam therapy for rectal cancer: a literature review
- Authors: Kozlova I.V.1,2, Udalov Y.D.1, Danilova L.A.1, Nezvetsky A.V.1, Bogomolova I.A.1, Gritsenko S.E.1
-
Affiliations:
- Federal Scientific Clinical Center for Medical Radiology and Oncology of the Federal Medical Biological Agency
- Ulyanovsk State University
- Issue: Vol 13, No 1 (2023)
- Pages: 33-38
- Section: LITERATURE REVIEW
- Published: 20.04.2023
- URL: https://onco-surgery.info/jour/article/view/594
- DOI: https://doi.org/10.17650/2686-9594-2023-13-1-33-38
- ID: 594
Cite item
Full Text
Abstract
Colorectal cancer is a significant group of malignant neoplasms that dominates the morbidity and mortality patterns in the world. for patients with colorectal cancer, a multidisciplinary approach is required when choosing treatment tactics involving surgeons, radiotherapists and chemotherapists. At present, it is impossible to overestimate the role of radiotherapy in the treatment of locally advanced rectal cancer. The purpose of this review is to summarize current data on proton beam therapy and its role in the treatment of rectal cancer.
About the authors
I. V. Kozlova
Federal Scientific Clinical Center for Medical Radiology and Oncology of the Federal Medical Biological Agency; Ulyanovsk State University
Author for correspondence.
Email: kozlovaiv@fvcmrfmba.ru
Irina valerievna Kozlova
5v Kurchatov St., Dimitrovgrad 433507
42 Lev Tolstoy St., Ulyanovsk 432017
Russian FederationYu. D. Udalov
Federal Scientific Clinical Center for Medical Radiology and Oncology of the Federal Medical Biological Agency
Email: fake@neicon.ru
5v Kurchatov St., Dimitrovgrad 433507
Russian FederationL. A. Danilova
Federal Scientific Clinical Center for Medical Radiology and Oncology of the Federal Medical Biological Agency
Email: fake@neicon.ru
5v Kurchatov St., Dimitrovgrad 433507
Russian FederationA. V. Nezvetsky
Federal Scientific Clinical Center for Medical Radiology and Oncology of the Federal Medical Biological Agency
Email: fake@neicon.ru
5v Kurchatov St., Dimitrovgrad 433507
Russian FederationI. A. Bogomolova
Federal Scientific Clinical Center for Medical Radiology and Oncology of the Federal Medical Biological Agency
Email: fake@neicon.ru
5v Kurchatov St., Dimitrovgrad 433507
Russian FederationS. E. Gritsenko
Federal Scientific Clinical Center for Medical Radiology and Oncology of the Federal Medical Biological Agency
Email: fake@neicon.ru
5v Kurchatov St., Dimitrovgrad 433507
Russian FederationReferences
- URL: https://cr.minzdrav.gov.ru/recomend/554_3. Rectal cancer. Clinical Guidelines, 2022. (In Russ.).
- Gérard A., Buyse M., Nordlinger B. et al. Preoperative radiotherapy as adjuvant treatment in rectal cancer. Final results of a randomized study of the European Organization for Research and Treatment of Cancer (EORTC). Ann Surg 1988;208(5):606–14. doi: 10.1097/00000658-198811000-00011
- Cedermark B., Dahlberg M., Glimelius B. et al. Swedish Rectal Cancer Trial. Improved survival with preoperative radiotherapy in resectable rectal cancer. N Engl J Med 1997;336:980–7. doi: 10.1056/NEJM199704033361402
- Sauer R., Becker H., Hohenberger W. et al. Preoperative versus postoperative chemoradiotherapy for rectal cancer. N Engl J Med 2004;351:1731–40. doi: 10.1056/NEJMoa040694
- Nicholas S., Chen L., Choflet A. et al. Pelvic Radiation and normal tissue toxicity. Seminars in Radiation Oncology 2017;27(4):358–69. doi: 10.1016/j.semradonc.2017.04.010
- Van Gijn W., Marijnen C.A., Nagtegaal I.D. et al. Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer: 12-year follow-up of the multicentre, randomized controlled TME trial. Lancet Oncol 2011;12(6):575–82. doi: 10.1016/S1470-2045(11)70097-3
- Moriya Y., Akasu T., Fujita S. et al. Total pelvic exenteration with distal sacrectomy for fixed recurrent rectal cancer. Surg Oncol Clin N Am 2005;14:225–38. doi: 10.1016/j.soc.2004.11.014
- Tao R., Tsai C.J., Jensen G., Eng C. et al. Hyperfractionated accelerated reirradiation for rectal cancer: An analysis of outcomes and toxicity. Radiother Oncol 2017;122(1):146–51. doi: 10.1016/j.radonc.2016.12.015
- Zabelin M.V., Klimanov V.A., Galyautdinova Zh.Zh. et al. Proton radiation therapy: clinical application possibilities and research prospects. Research and practice in medicine 2018;5(1):82–95. (In Russ.). doi: 10.17709/2409-2231-2018-5-1-10
- Baliga S., Yock T.I. Proton beam therapy in pediatric oncology. Curr Opin Pediatr 2019;31(1):28–34.
- Gordon K.B., Smyk D.I., Gulidov I.А. Proton therapy in head and neck cancer treatment: state of the problem and development prospects (review). Modern technologies in medicine 2021;13(4):70–81. (In Russ.). doi: 10.17691/stm2021.13.4.08
- Haque W., Butler E.B., Teh B.S. Stereotactic body radiation therapy for prostate cancer-a review. Chin Clin Oncol 2017; 6(Suppl 2):10. doi: 10.21037/cco.2017.06.05
- Rusňák Š., Hecová L., Kasl Z. et al. Therapy of uveal melanoma A Review. Cesk Slov Oftalmol 2020;77(1):1–13. doi: 10.31348/2020/10
- Udalov Yu.D., Samoilov A.S., Danilova L.A. et al. Modern treatment of non-small cell lung cancer with intracerebral metastases and metastatic lesions of the liver, mediastinal lymph nodes, skeletal bones. Clinical observation. Мedical Radiology and Radiation Safety 2021;66(3):82–7. (In Russ.). doi: 10.12737/1024-6177-2021-66-3-82-87
- Udalov Yu.D., Zlobina E.L., Danilova L.A. et al. The possibilities of proton therapy for repeated irradiation of diffuse brain stem tumors in children. Extreme medicine 2021;23(4):65–71. (In Russ.). doi: 10.47183/mes.2021.039
- Udalov Yu.D., Nezvetsky A.V., Danilova L.A. et al. Analysis of the results of proton radiation therapy in patients with squamous cell carcinoma of the head and neck. Journal of oncology: diagnostic radiology and radiotherapy 2022;5(3):9–17. (In Russ.). doi: 10.37174/2587-7593-2022-5-3-9-17
- Pan’shin G.A., Tsallagova Z.S., Izmailov T.R. Radiotherapy of Malignant Tumors: Photons or Protons? Part 1. Bragg Peak and the Brief Characteristics of a Proton Beam. Journal of radiology and nuclear medicine 2020;101(6):369–72. (In Russ.). doi: 10.20862/0042-4676-2020-101-6-369-372
- Pryanichnikov A.A., Chernyaev A.P., Khoroshkov V.S. Introduction to physics and proton therapy technique. Study guide. Series “Library of Medical physicist”. Moscow: OOP of the Faculty of Physics of Moscow State University, 2019. 104 р. (In Russ.).
- Parzen J.S., Zheng W., Li X. et al. Optimization of field design in the treatment of rectal cancer with intensity modulated proton beam radiation therapy: how many fields are needed to account for rectal distension uncertainty? Adv Radiat Oncol 2021;6(5):100749. doi: 10.1016/j.adro.2021.100749
- Colaco R.J., Nichols R.C., Huh S et al. Protons offer reduced bone marrow, small bowel, and urinary bladder exposure for patients receiving neoadjuvant radiotherapy for resectable rectal cancer. J Gastrointest Oncol 2014;5:3–8. doi: 10.3978/j.issn.2078-6891.2013.041
- Wolff H.A., Wagner D.M., Conradi L.C. et al. Irradiation with protons for the individualized treatment of patients with locally advanced rectal cancer: A planning study with clinical implications. Radiother Oncol 2012;102:30–7. doi: 10.1016/j.radonc.2011.10.018
- Jeans E.B., Jethwa K.R., Harmsen W.S. et al. Clinical implementation of preoperative short-course pencil beam scanning proton therapy for patients with rectal cancer. Adv Radiat Oncol 2020;5(5):865–70. doi: 10.1016/j.adro.2020.05.004
- Kronborg C.J.S., Jørgensen J.B., Petersen J.B.B. et al. Pelvic insufficiency fractures, dose volume parameters and plan optimization after radiotherapy for rectal cancer. Clin Transl Radiat Oncol 2019;19:72–6. doi: 10.1016/j.ctro.2019.09.001
- Rønde H.S., Kallehauge J.F., Kronborg C.J.S. et al. Intensity modulated proton therapy planning study for organ at risk sparing in rectal cancer re-irradiation. Acta Oncologica 2021;60(11):1436–9. doi: 10.1080/0284186X.2021.1953139
- Hamauchi S., Yamazaki K., Yasui H. et al. Safety and efficacy of proton-beam radiation therapy for patients with locally recurrent rectal cancer. Ann Oncol 2012;23:xi132–67. doi: 10.1016/S0923-7534(20)32506-0
- Fok M., Toh S., Easow J. et al. Proton beam therapy in rectal cancer: A systematic review and meta-analysis. Surg Oncol 2021;38:101638. doi: 10.1016/j.suronc.2021.101638
- Koroulakis A., Molitoris J., Kaiser A. el al. Reirradiation for rectal cancer using pencil beam scanning proton therapy: a single institutional experience. Adv Radiat Oncol 2021;6(1):100595. doi: 10.1016/j.adro.2020.10.008
- Moningi S., Ludmir E.B., Polamraju P. Definitive hyperfractionated, accelerated proton reirradiation for patients with pelvic malignancies. Clin Transl Radiat Oncol 2019;19:59–65. doi: 10.1016/j.ctro.2019.08.004
- Hiroshima Y., Ishikawa H., Murakami M. et al. Proton beam therapy for local recurrence of rectal cancer. Anticancer Res 2021;41(7):3589–95. doi: 10.21873/anticanres.15147
- Hee Cheol Kim, Samsung Medical Center, Korea. Identifier: NCT03098108. URL: ClinicalTrials.gov.
- Dae Yong Kim, National Cancer Center, Korea. Identifier: NCT03566355. URL: ClinicalTrials.gov.
- Dae Yong Kim, National Cancer Center, Korea. Identifier: NCT03577665. URL: ClinicalTrials.gov.
Supplementary files


