title: [Novel irradiation techniques in the treatment of solid tumours. Radiotherapy for metastases].
abstract: Novel developments in percutaneous radiotherapy, such as positron emission tomography/computed tomography, adaptive radiation planning, intensity modulation radiotherapy and intensity modulated arc therapy (RapidArc), as well as the newer generation of image control (cone-beam computed tomography) and image guided radiotherapy ensure increased dosages of planning target volume and clinical target volume of solid tumours without damaging surrounding tissues and providing maximal protection. By raising the dosages of planned target volume and clinical target volume, these novel technical developments have created new indications in the treatment of solid tumours. With the aid of the cone-beam computed tomography and image guided radiotherapy the organ metastasis (lung, liver, spinal cord) and the primary tumour can be treated safety and effectively. Hypofractionation, dose escalation and the use of stereotactic devices can probably decrease radiation damage. The authors review the most common forms of evidence-based fractionation schemes used in irradiation therapy.
authors.affiliation: Uzsoki utcai Kórház Fővárosi Onkoradiológiai Központ Budapest Uzsoki u. 29. 1145.
authors.forename: Arpád
authors.initials: A
authors.lastname: Mayer
authors.affiliation: Uzsoki utcai Kórház Fővárosi Onkoradiológiai Központ Budapest Uzsoki u. 29. 1145.
authors.forename: Zsuzsa
authors.initials: Z
authors.lastname: Póti
mesh_terms: D002289:Carcinoma, Non-Small-Cell Lung / Q000532:radiotherapy; D002986:Clinical Trials as Topic; D054893:Cone-Beam Computed Tomography; D019583:Dose Fractionation, Radiation; D019317:Evidence-Based Medicine; D006801:Humans; D008113:Liver Neoplasms / Q000532:radiotherapy / Q000556:secondary; D008175:Lung Neoplasms / Q000532:radiotherapy / Q000556:secondary; D009369:Neoplasms / Q000532:radiotherapy*; D018579:Patient Selection; D016634:Radiosurgery / Q000379:methods; D011880:Radiotherapy Planning, Computer-Assisted / Q000379:methods; D011881:Radiotherapy, Computer-Assisted / Q000379:methods; D061089:Radiotherapy, Image-Guided; D050397:Radiotherapy, Intensity-Modulated / Q000379:methods; D013125:Spinal Neoplasms / Q000532:radiotherapy / Q000556:secondary; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed
keywords: metastases; metasztázisok; novel radiotherapy techniques; solid tumours; stereotactic extracranial radiotherapy; szolid tumorok; sztereotaxiás extracranialis sugárterápia; új sugárterápiás technikák
vernacular_title: Új besugárzási technikák a szolid tumorok kezelésében. Metasztázisok sugárterápiája.