Intra-Operative Radiotherapy in Breast Cancer Treatment: A Literature
Message:
Article Type:
Review Article (دارای رتبه معتبر)
Abstract:
Context

The process of direct radiation to the tumor or tumor residue during surgery known as Intraoperative Radiation Therapy (IORT) is a new promising technique in the treatment of different cancers. For a detailed review of IORT application and effectiveness in breast cancer, we conducted a review of the present literature in the field. Evidence Acquisition: In this study, the most important technologies for IORT were identified through a comprehensive study. Relevant, critical, and highly cited articles and studies were selected based on experts’ opinions. Data were summarized in sections of technology and physics, protocols, and treatment outcomes.

Results

Electron beam and low-energy X-ray technologies were explained, and the physique of IORT was discussed. Due to the uncertainties of this modality and geometric complexities of post-excision treatment site, specialized treatment planning systems for IORT are necessary. In breast cancer treatment, regardless of the employed technology, IORT is applied with two main protocols: Partial Breast Irradiation and Intraoperative Boost Irradiation, each with their own advantages and disadvantages.

Conclusions

Despite the controversies in acceptance and effectiveness of IORT, this technique seems to be promising for increased survival of breast cancer patients.

Language:
English
Published:
Iranian Red Crescent Medical Journal, Volume:21 Issue: 9, Sep 2019
Page:
1
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