Who Will Benefit from Charged-Particle Therapy?

Cancer Res Treat. 2021 Jul;53(3):621-634. doi: 10.4143/crt.2021.299. Epub 2021 Jun 21.

Abstract

Charged-particle therapy (CPT) such as proton beam therapy (PBT) and carbon-ion radiotherapy (CIRT) exhibit substantial physical and biological advantages compared to conventional photon radiotherapy. As it can reduce the amount of radiation irradiated in the normal organ, CPT has been mainly applied to pediatric cancer and radioresistent tumors in the eloquent area. Although there is a possibility of greater benefits, high set-up cost and dearth of high level of clinical evidence hinder wide applications of CPT. This review aims to present recent clinical results of PBT and CIRT in selected diseases focusing on possible indications of CPT. We also discussed how clinical studies are conducted to increase the number of patients who can benefit from CPT despite its high cost.

Keywords: Carbon-ion radiotherapy; Charged-particle therapy; Proton beam therapy.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Cost-Benefit Analysis
  • Heavy Ion Radiotherapy / adverse effects*
  • Heavy Ion Radiotherapy / economics
  • Heavy Ion Radiotherapy / methods
  • Humans
  • Incidence
  • Neoplasms / radiotherapy*
  • Organs at Risk / radiation effects
  • Patient Selection*
  • Photons / adverse effects*
  • Radiation Injuries / epidemiology*
  • Radiation Injuries / etiology
  • Treatment Outcome