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Advancements and Personalization of Breast Cancer Treatment Strategies in Radiation Therapy

  • Meena S. MoranEmail author
Chapter
Part of the Cancer Treatment and Research book series (CTAR, volume 173)

Abstract

Significant technologic advances in radiation treatment delivery now allow for more personalized delivery considerations which incorporate individual patient characteristics (such as tumor location and patient anatomy) and more precise delivery in the breast conservation or post-mastectomy setting. The combined advancements with other treatment modalities (i.e., systemic therapy, surgical management) have had direct effects on local-regional management and outcomes such that currently, local-regional relapses after definitive treatment for localized disease are now rarely experienced. Recent advances in the radiation therapy field have come from careful patient selection for a variety of three-dimensional treatment delivery techniques and alternatives to conventional tangential radiation. These advances have been demonstrated to diminished acute/long-term toxicity, minimized dose to surrounding normal tissue structures such as the heart and lung, and ultimately result in an improvement in the therapeutic ratio for radiation treatment. This chapter discusses recent radiation innovations and appropriate patient selection for their application, for a more personalized approach to radiation therapy for breast cancer patients.

Keywords

Breast cancer Radiation therapy Techniques Deep inspiration breath hold Breast conservation therapy Regional nodal radiation 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Therapeutic Radiology, Yale Radiation Therapy ProgramYale University School of MedicineNew HavenUSA

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