Proton Therapy for Partial Breast Irradiation: Rationale and Considerations
Open Access
- 9 April 2021
- journal article
- review article
- Published by MDPI AG in Journal of Personalized Medicine
- Vol. 11 (4) , 289
Abstract
In an era of continued advancements in personalized medicine for the treatment of breast cancer, select patients with early stage breast cancer may be uniquely poised to benefit from partial breast irradiation (PBI) delivered with proton therapy. PBI presents an opportunity to improve quality of life during treatment with a significantly shorter treatment duration. By targeting less non-target breast tissue, excess radiation exposure and resulting toxicities are also reduced. Proton therapy represents a precision radiotherapy technology that builds on these advantages by further limiting the normal tissue exposure to unnecessary radiation dose not only to uninvolved breast tissue but also the underlying thoracic organs including the heart and lungs. Herein, we present a concise review of the rationale for the use of proton therapy for PBI, evidence available to date, and practical considerations in the implementation and use of proton therapy for this indication.Keywords
Funding Information
- National Institutes of Health (P30-CA008748)
This publication has 36 references indexed in Scilit:
- Effect of radiotherapy after breast-conserving surgery on 10-year recurrence and 15-year breast cancer death: meta-analysis of individual patient data for 10 801 women in 17 randomised trialsThe Lancet, 2011
- Partial Breast Irradiation Delivered With Proton Beam: Results of a Phase II TrialClinical Breast Cancer, 2011
- Reports of Unexpected Late Side Effects of Accelerated Partial Breast Irradiation—Radiobiological ConsiderationsInternational Journal of Radiation Oncology - Biology - Physics (IJROBP), 2010
- Dosimetric comparison of four different external beam partial breast irradiation techniques: Three-dimensional conformal radiotherapy, intensity-modulated radiotherapy, helical tomotherapy, and proton beam therapyRadiotherapy and Oncology, 2009
- A Technique of Partial Breast Irradiation Utilizing Proton Beam Radiotherapy: Comparison with Conformal X-Ray TherapyThe Cancer Journal, 2007
- Accelerated partial-breast irradiation using proton beams: Initial clinical experienceInternational Journal of Radiation Oncology - Biology - Physics (IJROBP), 2006
- Dosimetric comparison of proton and photon three-dimensional, conformal, external beam accelerated partial breast irradiation techniquesInternational Journal of Radiation Oncology - Biology - Physics (IJROBP), 2006
- Phase II trial of brachytherapy alone after lumpectomy for select breast cancer: Toxicity analysis of RTOG 95-17International Journal of Radiation Oncology - Biology - Physics (IJROBP), 2006
- Twenty-Year Follow-up of a Randomized Trial Comparing Total Mastectomy, Lumpectomy, and Lumpectomy plus Irradiation for the Treatment of Invasive Breast CancerNew England Journal of Medicine, 2002
- Twenty-Year Follow-up of a Randomized Study Comparing Breast-Conserving Surgery with Radical Mastectomy for Early Breast CancerNew England Journal of Medicine, 2002