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Clinical Radiation Oncology

Section edited by Stephanie Combs, Pirus Ghadjar, Matthias Guckenberger, Daniel Habermehl, Silke Nachbichler, Maximilian Niyazi, and Falk Roeder

The Clinical Radiation Oncology section aims to provide a platform for clinical research in radiation oncology. Research includes innovative early phase and later stage clinical trials, technical approaches, review articles on “burning” clinical questions, invited key reviews, RT planning studies, multimodal therapy, data mining from retrospective cohorts in a hypothesis-generating manner, interconnection between imaging and improved target delineation, and intensity modulation/high precision techniques. The section addresses current, timely and cutting- edge research and reviews about clinically relevant issues in radiation oncology, while offering a fast review process.

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  1. The risk for radiation necrosis is lower in fractionated stereotactic radiotherapy (SRT) than in conventional radiotherapy, and 13-fraction SRT is our method of choice for the treatment of brain metastases ≥ a...

    Authors: Megumi Uto, Kengo Ogura, Tomohiro Katagiri, Keiichi Takehana and Takashi Mizowaki

    Citation: Radiation Oncology 2021 16:140

    Content type: Research

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  2. The study aims to analyze the clinical characteristics of head and neck mucosal melanoma (MMHN) and the effects of multiple treatment modalities on distant metastasis, recurrence and survival rates to provide ...

    Authors: Qing-Qing Xu, Yan-Zhen Lai, Zi-Lu Huang, Zi-Yi Zeng, Ya-Ni Zhang, Rui-Yao Ou, Wen-Min Wu, Lei Chen and Li-Xia Lu

    Citation: Radiation Oncology 2021 16:138

    Content type: Research

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  3. Neoadjuvant chemoradiotherapy (nCRT) followed by surgery is a currently widely used strategy for locally advanced esophageal cancer (EC). However, the conventional imaging methods have certain deficiencies in ...

    Authors: Xin Xu, Zhi-Yong Sun, Hua-Wei Wu, Chen-Peng Zhang, Bin Hu, Ling Rong, Hai-Yan Chen, Hua-Ying Xie, Yu-Ming Wang, Hai-Ping Lin, Yong-Rui Bai, Qing Ye and Xiu-Mei Ma

    Citation: Radiation Oncology 2021 16:132

    Content type: Research

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  4. Symptomatic radiation pneumonitis (RP) may be a serious complication after thoracic radiation therapy (RT) for non-small cell lung cancer (NSCLC). This prospective observational study sought to evaluate the ut...

    Authors: Weronika Maria Szejniuk, Martin Skovmos Nielsen, Zsuzsanna Takács-Szabó, Jacek Pawlowski, Sahar Sulaiman Al-Saadi, Panagiotis Maidas, Martin Bøgsted, Tine McCulloch, Jens Brøndum Frøkjær, Ursula Gerda Falkmer and Oluf Dimitri Røe

    Citation: Radiation Oncology 2021 16:131

    Content type: Research

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  5. Tooth extraction post radiotherapy is one of the most important risk factors of osteoradionecrosis of the jawbones. The objective of this study was to determine the predictors of osteoradionecrosis (ORN) which...

    Authors: Szu Ching Khoo, Syed Nabil, Azizah Ahmad Fauzi, Siti Salmiah Mohd Yunus, Wei Cheong Ngeow and Roszalina Ramli

    Citation: Radiation Oncology 2021 16:130

    Content type: Research

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  6. To map anatomic patterns of para-aortic lymph node (PALN) recurrence in cervical cancer patients and validate currently available guidelines on PA clinical target volumes (CTV).

    Authors: Bong Kyung Bae, Shin-Hyung Park, Shin Young Jeong, Gun Oh Chong, Mi Young Kim and Jae-Chul Kim

    Citation: Radiation Oncology 2021 16:128

    Content type: Research

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  7. Historically, IBD has been thought to increase the underlying risk of radiation related toxicity in the treatment of prostate cancer. In the modern era, contemporary radiation planning and delivery may mitigat...

    Authors: Jonathan W. Lischalk, Seth Blacksburg, Christopher Mendez, Michael Repka, Astrid Sanchez, Todd Carpenter, Matthew Witten, Jules E. Garbus, Andrew Evans, Sean P. Collins, Aaron Katz and Jonathan Haas

    Citation: Radiation Oncology 2021 16:126

    Content type: Research

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  8. The aim of this work was to investigate the outcome of metastasis-directed radiotherapy (MDT) in prostate cancer patients with bone metastases following current ESTRO/EORTC subclassifications for oligometastat...

    Authors: Paul Rogowski, Christian Trapp, Rieke von Bestenbostel, Nina-Sophie Schmidt-Hegemann, Run Shi, Harun Ilhan, Alexander Kretschmer, Christian Stief, Ute Ganswindt, Claus Belka and Minglun Li

    Citation: Radiation Oncology 2021 16:125

    Content type: Research

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  9. Adjuvant hysterectomy following chemoradiation for bulky, early stage cervical cancer has been shown to decrease local relapse rate. The objective of this study is to compare complications and recurrences betw...

    Authors: Heather Miller, Koji M. Matsuo, Lynda D. Roman, Annie A. Yessaian, Huyen Q. Pham, Marianne Hom, Antonio Castaneda, Anthony Pham, Omar Ragab, Laila Muderspach, Marcia Ciccone and Laurie L. Brunette

    Citation: Radiation Oncology 2021 16:123

    Content type: Research

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  10. Screening and management of venous thromboembolism (VTE) after surgery is important in preventing sublethal VTE. However, the risk factors for VTE during interstitial brachytherapy (ISBT) remain unknown, and a...

    Authors: Keiko Nemoto Murofushi, Tetsuya Tomita, Kayoko Ohnishi, Kei Nakai, Azusa Akiyama, Tsukasa Saida, Toshiyuki Okumura, Katsuyuki Karasawa, Toyomi Satoh and Hideyuki Sakurai

    Citation: Radiation Oncology 2021 16:121

    Content type: Research

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  11. Cranial nerve (CN) palsy due to cancer involvement has been considered as an unfavorable prognostic factor for patients with nasopharyngeal carcinoma (NPC). We assessed the role of IMRT based treatment on the ...

    Authors: Jian Zang, Yan Li, Shanquan Luo, Jianhua Wang, Bingxin Hou, Min Yao, Lina Zhao and Mei Shi

    Citation: Radiation Oncology 2021 16:118

    Content type: Research

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  12. Atypical meningiomas exhibit a high tendency for tumor recurrence even after multimodal therapy. Information regarding recurrence patterns after additive radiotherapy is scarce but could improve radiotherapy p...

    Authors: Elgin Hoffmann, Kerstin Clasen, Bettina Frey, Jakob Ehlers, Felix Behling, Marco Skardelly, Benjamin Bender, Jens Schittenhelm, Matthias Reimold, Ghazaleh Tabatabai, Daniel Zips, Franziska Eckert and Frank Paulsen

    Citation: Radiation Oncology 2021 16:116

    Content type: Research

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  13. The hippocampus is a critical organ for irradiation. Thus, we explored changes in hippocampal volume according to the dose delivered and the location relative to the glioblastoma.

    Authors: Clara Le Fèvre, Xue Cheng, Marie-Pierre Loit, Audrey Keller, Hélène Cebula, Delphine Antoni, Alicia Thiery, Jean-Marc Constans, François Proust and Georges Noel

    Citation: Radiation Oncology 2021 16:112

    Content type: Research

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  14. The present study aimed to propose a new foetal shielding device for pregnant cancer patients to reduce the foetal dose associated with treatment techniques using multiple gantry angles, such as intensity-modu...

    Authors: Seonghee Kang, Kyeong-Hyeon Kim, Sang-Won Kang, Dong-Seok Shin, Seungwan Lee and Jin-Beom Chung

    Citation: Radiation Oncology 2021 16:109

    Content type: Research

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  15. The purpose of this study is to evaluate inter- and intra-fraction organ motion as well as to quantify clinical target volume (CTV) to planning target volume (PTV) margins to be adopted in the stereotactic tre...

    Authors: Annarita Perillo, Valeria Landoni, Alessia Farneti and Giuseppe Sanguineti

    Citation: Radiation Oncology 2021 16:106

    Content type: Research

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  16. To examine treatment patterns, oncological outcomes and toxicity rates in elderly patients receiving radiotherapy for cutaneous squamous cell carcinoma (cSCC) of the head-and-neck region.

    Authors: Erik Haehl, Alexander Rühle, Rabea Klink, Tobias Kalckreuth, Tanja Sprave, Eleni Gkika, Constantinos Zamboglou, Frank Meiß, Anca-Ligia Grosu and Nils H. Nicolay

    Citation: Radiation Oncology 2021 16:105

    Content type: Research

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  17. The main objective of this study was to evaluate the cumulative incidence of cause-specific mortality and other causes of mortality for patients with olfactory neuroblastoma (ONB). The secondary aim was to mod...

    Authors: Lipin Liu, Qiuzi Zhong, Ting Zhao, Dazhi Chen, Yonggang Xu and Gaofeng Li

    Citation: Radiation Oncology 2021 16:103

    Content type: Research

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  18. To investigate the interobserver variability (IOV) in target volume delineation of definitive radiotherapy for thoracic esophageal cancer (TEC) among cancer centers in China, and ultimately improve contouring ...

    Authors: Xiao Chang, Wei Deng, Xin Wang, Zongmei Zhou, Jun Yang, Wenling Guo, Miaoling Liu, Xiaolu Qi, Ling Li, Kaixian Zhang, Min Zhang, Yonggang Shi, Ke Liu, Yidian Zhao, Huitao Wang, Zhilong Yu…

    Citation: Radiation Oncology 2021 16:102

    Content type: Research

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  19. We recently described the validation of deep learning-based auto-segmented contour (DC) models for organs at risk (OAR) and clinical target volumes (CTV). In this study, we evaluate the performance of implemen...

    Authors: Jordan Wong, Vicky Huang, Derek Wells, Joshua Giambattista, Jonathan Giambattista, Carter Kolbeck, Karl Otto, Elantholi P. Saibishkumar and Abraham Alexander

    Citation: Radiation Oncology 2021 16:101

    Content type: Research

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  20. Local recurrence (LR) is clinical challenge in the treatment of esophageal squamous cell carcinoma (ESCC). The current study aimed to determine the optimal re-irradiation dose for local recurrent esophageal sq...

    Authors: Xun Wu, Xingsheng Hu, Junru Chen and Lang He

    Citation: Radiation Oncology 2021 16:100

    Content type: Research

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  21. Centrally located lung tumors present treatment challenges given their proximity to mediastinal structures including the central airway, esophagus, major vessels, and heart. Therapeutic options can be limited ...

    Authors: Stephanie M. Yoon, Robert Suh, Fereidoun Abtin, Drew Moghanaki, Scott Genshaft, Mitchell Kamrava, Alexandra Drakaki, Sandy Liu, Puja Venkat, Alan Lee and Albert J. Chang

    Citation: Radiation Oncology 2021 16:99

    Content type: Research

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  22. Brachial plexopathy is a potentially serious complication from stereotactic body radiation therapy (SBRT) that has not been widely studied. Therefore, we compared datasets from two different institutions and g...

    Authors: Irina Kapitanova, Sharmi Biswas, Sabrina Divekar, Eric J. Kemmerer, Robert A. Rostock, Kenneth M. Forster, Rachel J. Grimm, Carla J. Scofield, Jimm Grimm, Bahman Emami and Anand Mahadevan

    Citation: Radiation Oncology 2021 16:98

    Content type: Research

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  23. In this study, we performed a consecutive macropathologic analysis to assess microscopic extension (ME) in high-grade glioma (HGG) to determine appropriate clinical target volume (CTV) margins for radiotherapy.

    Authors: Shulun Nie, Yufang Zhu, Jia Yang, Tao Xin, Song Xue, Xianbin Zhang, Jujie Sun, Dianbin Mu, Yongsheng Gao, Zhaoqiu Chen, Xingchen Ding, Jinming Yu and Man Hu

    Citation: Radiation Oncology 2021 16:97

    Content type: Research

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  24. We have carried out a study to determine the scope for reducing heart doses in photon beam radiotherapy of locally advanced non-small cell lung cancer (LA-NSCLC).

    Authors: Louise Turtle, Neeraj Bhalla, Andrew Willett, Robert Biggar, Jonathan Leadbetter, Georgios Georgiou, James M. Wilson, Sindu Vivekanandan, Maria A. Hawkins, Michael Brada and John D. Fenwick

    Citation: Radiation Oncology 2021 16:95

    Content type: Research

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  25. This retrospective study was to assess and compare the toxicity and efficacy of concurrent chemoradiotherapy (CCRT) with S-1 or docetaxel and cisplatin in patients with locally advanced esophageal squamous cel...

    Authors: Xi-Lei Zhou, Chang-Hua Yu, Wan-Wei Wang, Fu-Zhi Ji, Yao-Zu Xiong, Wei-Guo Zhu and Yu-Suo Tong

    Citation: Radiation Oncology 2021 16:94

    Content type: Research

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  26. Patients with locally advanced sigmoid colon cancer (LASCC) have limited treatment options and a dismal prognosis with poor quality of life. This retrospective study aimed to further evaluate the feasibility...

    Authors: Shao-Qing Niu, Rong-Zhen Li, Yan Yuan, Wei-Hao Xie, Qiao-Xuan Wang, Hui Chang, Zhen-Hai Lu, Pei-Rong Ding, Li-Ren Li, Xiao-Jun Wu, Zhi-Fan Zeng, Wei-Wei Xiao and Yuan-Hong Gao

    Citation: Radiation Oncology 2021 16:93

    Content type: Research

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  27. The application of delayed-enhancement magnetic resonance (DE-MR) simulation imaging in lumpectomy cavity (LC) delineation for prone radiotherapy in patients with an invisible seroma or a low seroma clarity sc...

    Authors: Changhui Zhao, Jianbin Li, Wei Wang, Guanzhong Gong, Liang Xu, Yingjie Zhang, Fengxiang Li, Qian Shao, Jinzhi Wang, Xijun Liu and Min Xu

    Citation: Radiation Oncology 2021 16:91

    Content type: Research

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  28. Early stage Merkel cell carcinoma (MCC) is a rare and aggressive primary skin cancer. The standard of care for MCC is broad excision and adjuvant external beam radiation therapy (EBRT). However, for some patie...

    Authors: Manon Dubois, Henry Abi Rached, Alexandre Escande, Frédéric Dezoteux, Franck Darloy, Anaïs Jouin, Maeva Kyheng, Julien Labreuche, Véronique Dziwniel, Xavier Mirabel and Laurent Mortier

    Citation: Radiation Oncology 2021 16:90

    Content type: Research

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  29. Studying the clinical utility of deep-inspirational breath-hold (DIBH) in left breast cancer radiotherapy (RT) was aimed at focusing on dosimetry and feasibility aspects.

    Authors: Szilvia Gaál, Zsuzsanna Kahán, Viktor Paczona, Renáta Kószó, Rita Drencsényi, Judit Szabó, Ramóna Rónai, Tímea Antal, Bence Deák and Zoltán Varga

    Citation: Radiation Oncology 2021 16:89

    Content type: Research

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  30. Hypofractionated post-prostatectomy radiotherapy is emerging practice, however with no randomized evidence so far to support it’s use. Additionally, patients with persistent PSA after prostatectomy may have ag...

    Authors: Jure Murgic, Blanka Jaksic, Marin Prpic, Davor Kust, Amit Bahl, Mirjana Budanec, Angela Prgomet Secan, Pierfrancesco Franco, Ivan Kruljac, Borislav Spajic, Nenad Babic, Bozo Kruslin, Mario Zovak, Eduardo Zubizarreta, Eduardo Rosenblatt and Ana Fröbe

    Citation: Radiation Oncology 2021 16:88

    Content type: Research

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  31. In unresectable hepatocellular carcinoma several local ablative treatments are available. Among others, radiation based treatments such as stereotactic body radiotherapy (SBRT) and high-dose rate interstitial ...

    Authors: Franziska Walter, Lukas Nierer, Maya Rottler, Anna Sophie Duque, Helmut Weingandt, Justus Well, Roel Shpani, Guillaume Landry, Max Seidensticker, Florian Streitparth, Jens Ricke, Claus Belka and Stefanie Corradini

    Citation: Radiation Oncology 2021 16:86

    Content type: Research

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  32. the aim of this study is to perform an external validation for the Candiolo nomogram, a predictive algorithm of biochemical and clinical recurrences in prostate cancer patients treated by radical Radiotherapy,...

    Authors: Domenico Gabriele, Alessia Guarneri, Sara Bartoncini, Fernando Munoz, Matteo Tamponi, Filippo Russo, Georgios Stamatakos, Caterina Guiot, Daniele Regge and Umberto Ricardi

    Citation: Radiation Oncology 2021 16:85

    Content type: Research

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  33. To assess the effects of daily adaptive MR-guided replanning in stereotactic body radiation therapy (SBRT) of liver metastases based on a patient individual longitudinal dosimetric analysis.

    Authors: Michael Mayinger, Roman Ludwig, Sebastian M. Christ, Riccardo Dal Bello, Alex Ryu, Nienke Weitkamp, Matea Pavic, Helena Garcia Schüler, Lotte Wilke, Matthias Guckenberger, Jan Unkelbach, Stephanie Tanadini-Lang and Nicolaus Andratschke

    Citation: Radiation Oncology 2021 16:84

    Content type: Research

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  34. Positron emission tomography-(PET) has evolved as a powerful tool to guide treatment for prostate cancer (PC). The aim of this survey was to evaluate the acceptance and use of PET—especially with prostate-spec...

    Authors: Marco M. E. Vogel, Sabrina Dewes, Eva K. Sage, Michal Devecka, Jürgen E. Gschwend, Matthias Eiber, Stephanie E. Combs and Kilian Schiller

    Citation: Radiation Oncology 2021 16:82

    Content type: Research

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  35. The current phase III EORTC 1420 Best-of trial (NCT02984410) compares the swallowing function after transoral surgery versus intensity modulated radiotherapy (RT) in patients with early-stage carcinoma of the ...

    Authors: J-J Stelmes, E. Vu, V. Grégoire, C. Simon, E. Clementel, J. Kazmierska, W. Grant, M. Ozsahin, M. Tomsej, L. Vieillevigne, C. Fortpied, E. C. Hurkmans, A. Branquinho, N. Andratschke, F. Zimmermann and D.-C. Weber

    Citation: Radiation Oncology 2021 16:81

    Content type: Research

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  36. Radiomics is a new technology to noninvasively predict survival prognosis with quantitative features extracted from medical images. Most radiomics-based prognostic studies of non-small-cell lung cancer (NSCLC)...

    Authors: Yuto Sugai, Noriyuki Kadoya, Shohei Tanaka, Shunpei Tanabe, Mariko Umeda, Takaya Yamamoto, Kazuya Takeda, Suguru Dobashi, Haruna Ohashi, Ken Takeda and Keiichi Jingu

    Citation: Radiation Oncology 2021 16:80

    Content type: Research

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  37. The optimal dose and fractionation scheme of stereotactic body radiation therapy (SBRT) for hepatocellular carcinoma (HCC) remains unclear due to different tolerated liver volumes and degrees of cirrhosis. In ...

    Authors: Ting-Shi Su, Qiu-Hua Liu, Xiao-Fei Zhu, Ping Liang, Shi-Xiong Liang, Lin Lai, Ying Zhou, Yong Huang, Tao Cheng and Le-Qun Li

    Citation: Radiation Oncology 2021 16:79

    Content type: Research

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  38. Liver compresses are frequently used in integrative medicine as supportive therapy during cancer treatment in order to reduce fatigue. We performed a pilot study to test whether the external application of yar...

    Authors: Pirus Ghadjar, Wiebke Stritter, Irina von Mackensen, Felix Mehrhof, Clara Foucré, Vincent H. Ehrhardt, Marcus Beck, Pimrapat Gebert, Goda Kalinauskaite, Jacqueline S. Luchte, Carmen Stromberger, Volker Budach, Angelika Eggert and Georg Seifert

    Citation: Radiation Oncology 2021 16:76

    Content type: Research

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  39. Despite modern treatment techniques, radiotherapy (RT) in patients with head and neck cancer (HNC) may be associated with high rates of acute and late treatment-related toxicity. The most effective approach to...

    Authors: Thomas Held, Christopher Herpel, Franz Sebastian Schwindling, Leo Christ, Kristin Lang, Sebastian Regnery, Tanja Eichkorn, Adriane Hommertgen, Cornelia Jaekel, Johannes Krisam, Julius Moratin, Jan Mrosek, Karl Metzger, Karim Zaoui, Tracy Moutsis, Semi Harrabi…

    Citation: Radiation Oncology 2021 16:75

    Content type: Study protocol

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  40. To generate and validate state-of-the-art radiomics models for prediction of radiation-induced lung injury and oncologic outcome in non-small cell lung cancer (NSCLC) patients treated with robotic stereotactic...

    Authors: Khaled Bousabarah, Oliver Blanck, Susanne Temming, Maria-Lisa Wilhelm, Mauritius Hoevels, Wolfgang W. Baus, Daniel Ruess, Veerle Visser-Vandewalle, Maximilian I. Ruge, Harald Treuer and Martin Kocher

    Citation: Radiation Oncology 2021 16:74

    Content type: Research

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  41. Despite complete surgical resection brain metastases are at significant risk of local recurrence without additional radiation therapy. Traditionally, the addition of postoperative whole brain radiotherapy (WBR...

    Authors: Giuseppe Minniti, Maximilian Niyazi, Nicolaus Andratschke, Matthias Guckenberger, Joshua D. Palmer, Helen A. Shih, Simon S. Lo, Scott Soltys, Ivana Russo, Paul D. Brown and Claus Belka

    Citation: Radiation Oncology 2021 16:73

    Content type: Review

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    The Letter to the Editor to this article has been published in Radiation Oncology 2021 16:127

  42. The study objective was to establish the local effect model (LEM) rectum constraints for 12-, 8-, and 4-fraction carbon-ion radiotherapy (CIRT) in patients with localized prostate carcinoma (PCA) using microdo...

    Authors: Weiwei Wang, Ping Li, Yinxiangzi Sheng, Zhijie Huang, Jingfang Zhao, Zhengshan Hong, Kambiz Shahnazi, Guo-Liang Jiang and Qing Zhang

    Citation: Radiation Oncology 2021 16:72

    Content type: Research

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  43. Clinical target volume (CTV) contouring guidelines are frequently developed through studies in which experts contour the CTV for a representative set of cases for a given treatment site and the consensus CTVs ...

    Authors: Liam S. P. Lawrence, Lee C. L. Chin, Rachel W. Chan, Timothy K. Nguyen, Arjun Sahgal, Chia-Lin Tseng and Angus Z. Lau

    Citation: Radiation Oncology 2021 16:71

    Content type: Methodology

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  44. Previous studies have found that patients with subclinical interstitial lung disease (ILD) are highly susceptible to developing radiation pneumonitis (RP) after thoracic radiation therapy. In the present study...

    Authors: Fangjuan Li, Hui Liu, Hongyu Wu, Shixiong Liang and Yaping Xu

    Citation: Radiation Oncology 2021 16:70

    Content type: Research

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  45. Patients with unresectable advanced cutaneous squamous cell carcinoma (cSCC) are generally treated with palliative intent. Immune checkpoint blockade has significant activity in the palliative setting in patie...

    Authors: Charles Lin, Trishna Ballah, Michelle Nottage, Karen Hay, Benjamin Chua, Lizbeth Kenny, Paul Thomas, Michele Teng, Jacqui Keller, Trang Le, Jennifer Edmunds and Brett Hughes

    Citation: Radiation Oncology 2021 16:69

    Content type: Study protocol

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  46. Stereotactic body radiotherapy (SBRT) is a promising ablative modality for hepatocellular carcinoma (HCC) especially for those with small-sized or early-stage tumors. This study aimed to synthesize available d...

    Authors: Yanyan Long, Yan Liang, Shujie Li, Jing Guo, Ying Wang, Yan Luo and Yongzhong Wu

    Citation: Radiation Oncology 2021 16:68

    Content type: Research

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  47. Definitive chemoradiotherapy (CRT) is standard of care for nasopharyngeal carcinoma. Due to the tumor localization and concomitant platinum-based chemotherapy, hearing impairment is a frequent complication, wi...

    Authors: Enkelejda Lamaj, Erwin Vu, Janita E. van Timmeren, Chiara Leonardi, Louise Marc, Izabela Pytko, Matthias Guckenberger and Panagiotis Balermpas

    Citation: Radiation Oncology 2021 16:64

    Content type: Research

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