期刊
RADIOTHERAPY AND ONCOLOGY
卷 103, 期 2, 页码 133-142出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.radonc.2012.02.008
关键词
Cardiac damage; Radiotherapy; Breast cancer; Dosimetric constraints; Biological parameters
Today there is general awareness of the potential damage to the heart in left-sided (more than in right-sided) breast cancer radiotherapy (RT). Historical changes in tumor and heart doses are presented here along with the impact of different RT techniques and volumes. Individual and pharmacological risk factors are also examined with respect to radiation damage. The biological mechanisms of harm are only partially understood, such as the radiobiology of heart damage due to the presence of various radiosensitive structures and their topographic heterogeneity. Furthermore, individual variability may expose patients to higher or lower risks of late cardiac damage or death. Damage mechanisms and radiobiological characteristics in heart irradiation are presented in relation to dosimetric and biological parameters. (C) 2012 Elsevier Ireland Ltd. All rights reserved. Radiotherapy and Oncology 103 (2012) 133-142
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