A Case Report of Salvage Radiotherapy for a Patient with Recurrent Gastric Cancer and Multiple Comorbidities Using Real-time MRI-guided Adaptive Treatment System

The stomach is one of the most deforming organs caused by respiratory motions and daily variation by food intake. Applying radiotherapy has been quite a challenge due to the high risk of missing the target as well as radiation exposure to large volumes of normal tissue. However, real-time magnetic r...

Descripción completa

Detalles Bibliográficos
Autores principales: Chun, Seok-Joo, Jeon, Seung Hyuck, Chie, Eui Kyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Radiation Oncology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997429/
https://www.ncbi.nlm.nih.gov/pubmed/29900091
http://dx.doi.org/10.7759/cureus.2471
_version_ 1783331045814304768
author Chun, Seok-Joo
Jeon, Seung Hyuck
Chie, Eui Kyu
author_facet Chun, Seok-Joo
Jeon, Seung Hyuck
Chie, Eui Kyu
author_sort Chun, Seok-Joo
collection PubMed
description The stomach is one of the most deforming organs caused by respiratory motions and daily variation by food intake. Applying radiotherapy has been quite a challenge due to the high risk of missing the target as well as radiation exposure to large volumes of normal tissue. However, real-time magnetic resonance (MR)-guided radiotherapy with adaptive planning could focus the high dose radiation to the target area while minimizing neighboring normal tissue exposure and compensate for not only daily but real-time variation. Here is a case report of a patient with recurrent gastric cancer and multiple co-morbidities, unsuitable for both resection and chemotherapy, who underwent MR guided adaptive radiotherapy.
format Online
Article
Text
id pubmed-5997429
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-59974292018-06-13 A Case Report of Salvage Radiotherapy for a Patient with Recurrent Gastric Cancer and Multiple Comorbidities Using Real-time MRI-guided Adaptive Treatment System Chun, Seok-Joo Jeon, Seung Hyuck Chie, Eui Kyu Cureus Radiation Oncology The stomach is one of the most deforming organs caused by respiratory motions and daily variation by food intake. Applying radiotherapy has been quite a challenge due to the high risk of missing the target as well as radiation exposure to large volumes of normal tissue. However, real-time magnetic resonance (MR)-guided radiotherapy with adaptive planning could focus the high dose radiation to the target area while minimizing neighboring normal tissue exposure and compensate for not only daily but real-time variation. Here is a case report of a patient with recurrent gastric cancer and multiple co-morbidities, unsuitable for both resection and chemotherapy, who underwent MR guided adaptive radiotherapy. Cureus 2018-04-12 /pmc/articles/PMC5997429/ /pubmed/29900091 http://dx.doi.org/10.7759/cureus.2471 Text en Copyright © 2018, Chun et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiation Oncology
Chun, Seok-Joo
Jeon, Seung Hyuck
Chie, Eui Kyu
A Case Report of Salvage Radiotherapy for a Patient with Recurrent Gastric Cancer and Multiple Comorbidities Using Real-time MRI-guided Adaptive Treatment System
title A Case Report of Salvage Radiotherapy for a Patient with Recurrent Gastric Cancer and Multiple Comorbidities Using Real-time MRI-guided Adaptive Treatment System
title_full A Case Report of Salvage Radiotherapy for a Patient with Recurrent Gastric Cancer and Multiple Comorbidities Using Real-time MRI-guided Adaptive Treatment System
title_fullStr A Case Report of Salvage Radiotherapy for a Patient with Recurrent Gastric Cancer and Multiple Comorbidities Using Real-time MRI-guided Adaptive Treatment System
title_full_unstemmed A Case Report of Salvage Radiotherapy for a Patient with Recurrent Gastric Cancer and Multiple Comorbidities Using Real-time MRI-guided Adaptive Treatment System
title_short A Case Report of Salvage Radiotherapy for a Patient with Recurrent Gastric Cancer and Multiple Comorbidities Using Real-time MRI-guided Adaptive Treatment System
title_sort case report of salvage radiotherapy for a patient with recurrent gastric cancer and multiple comorbidities using real-time mri-guided adaptive treatment system
topic Radiation Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997429/
https://www.ncbi.nlm.nih.gov/pubmed/29900091
http://dx.doi.org/10.7759/cureus.2471
work_keys_str_mv AT chunseokjoo acasereportofsalvageradiotherapyforapatientwithrecurrentgastriccancerandmultiplecomorbiditiesusingrealtimemriguidedadaptivetreatmentsystem
AT jeonseunghyuck acasereportofsalvageradiotherapyforapatientwithrecurrentgastriccancerandmultiplecomorbiditiesusingrealtimemriguidedadaptivetreatmentsystem
AT chieeuikyu acasereportofsalvageradiotherapyforapatientwithrecurrentgastriccancerandmultiplecomorbiditiesusingrealtimemriguidedadaptivetreatmentsystem
AT chunseokjoo casereportofsalvageradiotherapyforapatientwithrecurrentgastriccancerandmultiplecomorbiditiesusingrealtimemriguidedadaptivetreatmentsystem
AT jeonseunghyuck casereportofsalvageradiotherapyforapatientwithrecurrentgastriccancerandmultiplecomorbiditiesusingrealtimemriguidedadaptivetreatmentsystem
AT chieeuikyu casereportofsalvageradiotherapyforapatientwithrecurrentgastriccancerandmultiplecomorbiditiesusingrealtimemriguidedadaptivetreatmentsystem

Ejemplares similares