Radiation pulmonary toxicity: from mechanisms to management
- PMID: 20685583
- DOI: 10.1016/j.semradonc.2010.01.010
Radiation pulmonary toxicity: from mechanisms to management
Abstract
The goal of radiation therapy is to reduce or eliminate tumor burden while sparing normal tissues from long-term injury. Thoracic radiation presents a unique challenge because of the inherent sensitivity of normal lung tissue to radiation. Damage to normal lung tissue presents a major obstacle in the treatment of individuals. To overcome this problem, a number of strategies are being used, including the modulation of dose volume, the use of image-guided radiotherapy, and the use of agents designed to reduce lung injury from radiation. Herein we discuss our current knowledge of the molecular and cellular events that occur after radiation therapy, the clinical manifestations of radiation-induced lung injury, current strategies to minimize lung injury, and recent experimental methods to reduce lung injury and their potential for translation into the clinic.
Copyright 2010 Elsevier Inc. All rights reserved.
Similar articles
-
[Importance of dosimetric factors predicting radiation toxicity in lung cancer treatment].Medicina (Kaunas). 2006;42(4):314-20. Medicina (Kaunas). 2006. PMID: 16687903 Lithuanian.
-
A little to a lot or a lot to a little? An analysis of pneumonitis risk from dose-volume histogram parameters of the lung in patients with lung cancer treated with 3-D conformal radiotherapy.Strahlenther Onkol. 2003 Aug;179(8):548-56. doi: 10.1007/s00066-003-1078-0. Strahlenther Onkol. 2003. PMID: 14509954
-
[Radiotherapy Techniques and Radiation Pneumonitis: A Lot To A Little Or A Little To A Lot?].Zhongguo Fei Ai Za Zhi. 2015 Dec;18(12):752-7. doi: 10.3779/j.issn.1009-3419.2015.12.07. Zhongguo Fei Ai Za Zhi. 2015. PMID: 26706952 Free PMC article. Review. Chinese.
-
Prediction of radiation pneumonitis by dose - volume histogram parameters in lung cancer--a systematic review.Radiother Oncol. 2004 May;71(2):127-38. doi: 10.1016/j.radonc.2004.02.015. Radiother Oncol. 2004. PMID: 15110445 Review.
-
[Relationship of dose-volume histogram parameters and computed tomography grading of radiation-induced lung injury in patients with non-small cell lung cancer treated by three-dimensional conformal radiotherapy].Zhonghua Zhong Liu Za Zhi. 2008 Sep;30(9):676-81. Zhonghua Zhong Liu Za Zhi. 2008. PMID: 19173909 Chinese.
Cited by
-
Clarithromycin Attenuates Radiation-Induced Lung Injury in Mice.PLoS One. 2015 Jun 26;10(6):e0131671. doi: 10.1371/journal.pone.0131671. eCollection 2015. PLoS One. 2015. PMID: 26114656 Free PMC article.
-
Autophagy-mediated NKG2D internalization impairs NK cell function and exacerbates radiation pneumonitis.Front Immunol. 2023 Nov 24;14:1250920. doi: 10.3389/fimmu.2023.1250920. eCollection 2023. Front Immunol. 2023. PMID: 38077388 Free PMC article.
-
Radiation-Induced Lung Injury (RILI).Front Oncol. 2019 Sep 6;9:877. doi: 10.3389/fonc.2019.00877. eCollection 2019. Front Oncol. 2019. PMID: 31555602 Free PMC article. Review.
-
Bio-physic constraint model using spatial registration of delta 18F-fluorodeoxyglucose positron emission tomography/computed tomography images for predicting radiation pneumonitis in esophageal squamous cell carcinoma patients receiving neoadjuvant chemoradiation.Onco Targets Ther. 2019 Aug 13;12:6439-6451. doi: 10.2147/OTT.S205803. eCollection 2019. Onco Targets Ther. 2019. PMID: 31496743 Free PMC article.
-
Concise Review: Therapeutic Potential of the Mesenchymal Stem Cell Derived Secretome and Extracellular Vesicles for Radiation-Induced Lung Injury: Progress and Hypotheses.Stem Cells Transl Med. 2019 Apr;8(4):344-354. doi: 10.1002/sctm.18-0038. Epub 2019 Jan 7. Stem Cells Transl Med. 2019. PMID: 30618085 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical