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Review Article
Intensity-Modulated Radiation Therapy for Uterine Cervical Cancer to Reduce Toxicity and Enhance Efficacy – an Option or a Must?: A Narrative Review
Sea-Won Lee, Aeran Kim, Sung Jong Lee, Sung Hwan Kim, Jong Hoon Lee
Cancer Res Treat. 2024;56(1):1-17.   Published online August 30, 2023
DOI: https://doi.org/10.4143/crt.2023.562
AbstractAbstract PDFPubReaderePub
Radiotherapy (RT) is a fundamental modality in treatment of cervical cancer. With advancement of technology, conventional RT used for external beam radiotherapy (EBRT) for over half a century has been rapidly replaced with intensity-modulated radiation therapy (IMRT) especially during the last decade. This newer technique is able to differentiate the intensity of radiation within the same field, thus reduces the inevitable exposure of radiation to normal organs and enables better dose delivery to tumors. Recently, the American Society for Radiation Oncology has released a guideline for RT in cervical cancer. Although a section of the guideline recommends IMRT for the purpose of toxicity reduction, a thorough review of the literature is necessary to understand the current status of IMRT in cervical cancer. This narrative review updates the recent high-level evidences regarding the efficacy and toxicity of IMRT and provides a better understanding of the most innovative techniques currently available for EBRT enabled by IMRT.

Citations

Citations to this article as recorded by  
  • Can knowledge-based planning models validated on ethnically diverse patients lead to global standardisation of external beam radiation therapy for locally advanced cervix cancer?
    Jeevanshu Jain, Monica Serban, Marianne Sanggaard Assenholt, Varsha Hande, Jamema Swamidas, Yvette Seppenwoolde, Joanne Alfieri, Kari Tanderup, Supriya Chopra
    Radiotherapy and Oncology.2025; 204: 110694.     CrossRef
  • Prediction of recurrence risk of cervical cancer after radiotherapy using multi-sequence MRI radiomics
    Jie Chen, Lou Liu, Yi Fu, Lu Zhang, Shuyue Li, Juying Zhou, Chenying Ma
    Radiation Medicine and Protection.2025; 6(3): 169.     CrossRef
  • Analysis of risk factors for acute radiation toxicity in cervical cancer patients in FIGO IIIC1 and IIIC2 stages treated with definitive chemoradiation
    Marija Živković Radojević, Jasmina Jovanović Mirković, Slađana Pirić, Christos Aleksopoulos, Neda Milosavljević
    The European Physical Journal Special Topics.2025;[Epub]     CrossRef
  • Comparative impact of supine vs prone positioning on dose distribution, acute toxicity, and setup error in postoperative radiotherapy for cervical cancer: a multidimensional propensity-matched cohort study
    Nanjie Xiao, Cuiyun Yuan, Tianshu Zhao, Tie Xu, Jiaomei Zhou, Junfang Liao, Miao Peng, Chenbin Liu, Zhijian Chen, Jing Jin
    Frontiers in Oncology.2025;[Epub]     CrossRef
  • Long term clinical outcomes of cervical cancer patients who were recommended surgery but did not undergo it: A SEER database study
    Zhaoming Zhang, Hongfu Zhao, Guanghui Cheng
    European Journal of Surgical Oncology.2024; 50(10): 108572.     CrossRef
  • Treatment of secondary uterine malignancy following radiotherapy for cervical cancer: a study based on the SEER database
    Xiaojing Tong, Yunyun Xiao, Haozhen Li, Hang Zhang, Jiawen Li
    BMC Women's Health.2024;[Epub]     CrossRef
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