IMRT for carcinomas of the oropharynx and oral cavity

Rupert K. Schmidt-Ullrich, David Buck, Nesrin Dogan, Jeffrey Siebers, Monica Morris, Yan Wu

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Despite significant progress over the past decade, the loco-regional control and survival rates of 50-60% for patients with locally-advanced oropharyngeal (OP) head and neck squamous cell carcinomas (HNSCC) with radiotherapy (RT) alone leave room for improvement [21] considering the limited options for salvage treatment after failure of the initial therapy. Current standards of RT have been re-defined by the RTOG- 9003 trial, comparing standard fractionation (SF) of 70 Gy, delivered in 35 fractions over 47 treatment days, with three different altered fractionation RT regimens; of the latter, both pure hyperfractination (HFX) and accelerated fractionation with concomitant boost (AFX CB) produced superior outcomes [21]. This RTOG trial produced important clinical evidence for the benefit of radiation dose intensification and shortening of the overall treatment time which had been demonstrated by other trial results and institutional experiences [2, 3, 21, 23, 24, 38, 40]. However, most approaches of dose intensification to the gross tumor volume (GTV) by three-dimensional conformal radiotherapy (3D-CRT) techniques require twice-daily irradiation. This has the disadvantages of reduced biological effectiveness of the cumulative nominal daily doses, and includes the need for repeated irradiation of normal and other target tissues overlying gross tumor.

Original languageEnglish (US)
Title of host publicationImage-Guided IMRT
PublisherSpringer Berlin Heidelberg
Pages301-317
Number of pages17
ISBN (Print)354020511X, 9783540205111
DOIs
StatePublished - Dec 1 2006
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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