ROLE OF 3D VISUALIZATION IN THE CERVICAL CANCER RADIOTHERAPY PROGRAM. LITERATURE REVIEW
Introduction: Cervical cancer occupies a leading position in the structure of oncopathology and is the most common cause of death in women worldwide. Effective treatment of locally advanced forms of cervical cancer is one of the most important medical and social problems of modern oncogynecology. For women with locally advanced cervical cancer, the standard of care has evolved from remote radiation therapy alone to combination therapy and brachytherapy with parallel chemotherapy. Thanks to computerization, the development of brachytherapy planning also does not stand still.
Objective: To analyze publications devoted to the study of the current state of radiation therapy for patients with cervical cancer and to assess the role of imaging and brachytherapy in the program for the comprehensive treatment of cervical cancer.
Search strategy: a literature search was carried out in the electronic databases PubMed, Google Scholar and e-library by keywords (cervical cancer, radiation therapy, brachytherapy). 84 relevant works reflecting the characteristics of the problem were taken for description in the review.
Results: According to the results of clinical studies, the use of 3D-IGBT in the program for the complex treatment of cervical cancer 3D-visualization at the planning and brachytherapy stage creates clinically favorable conditions for effective therapy, the risk of applicator displacement is reduced, the load for the patient and medical staff is reduced, and the stage is accelerated brachytherapy.
Conclusions: Thus, the introduction of 3D planning provides good local control in cervical cancer patients regardless of tumor size and clinical stage without increasing the incidence of severe late toxic effects, providing good local control in cervical cancer patients regardless of tumor size and clinical stage without an increase in the frequency of severe late toxic effects, which is important. Further study of the importance of imaging and brachytherapy in the program for the comprehensive treatment of cervical cancer remains relevant today.
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Andreeva O.B., Adylkhanov T.A., Zhabagina A.S., Raisov D.T., Urazalina N.M. Role of 3D visualization in the cervical cancer radiotherapy program. Literature review. Nauka i Zdravookhranenie [Science & Healthcare]. 2019, (Vol.21) 4, pp. 5-19.Related publications:
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