Late side-effects after curative intent radiotherapy: Identification of hypersensitive patients for personalized strategy

Crit Rev Oncol Hematol. 2015 Mar;93(3):312-9. doi: 10.1016/j.critrevonc.2014.11.004. Epub 2014 Nov 22.

Abstract

Radiation therapy undeniably enhances local control and thus improves overall survival in cancer patients. However, some long-term cancer survivors (less than 10%) develop severe late radio-induced toxicities altering their quality of life. Therefore, there is a need to identify patients who are sensitive to those toxicities and who could benefit from adapted care. In this review, we address all available techniques aiming to detect patients' hyper-radiosensitivity and present the scientific rationales these techniques are based on.

Keywords: Predictive markers; Radiotherapy outcome.

Publication types

  • Review

MeSH terms

  • Biomarkers
  • Neoplasms / complications*
  • Neoplasms / mortality
  • Neoplasms / radiotherapy
  • Precision Medicine
  • Prognosis
  • Radiation Injuries* / diagnosis
  • Radiation Tolerance
  • Radiotherapy / adverse effects*
  • Risk Factors
  • Survivors*
  • Time Factors
  • Treatment Outcome

Substances

  • Biomarkers