2019年—2020年胰腺癌放射治疗新进展

随着放疗设备、影像技术、人工智能等方面的迅速发展,放疗已进入精准时代。放疗是胰腺癌治疗的重要手段之一,近期在相关放疗理念、技术模式方面进展很快。结合目前放疗领域专家所关注的胰腺癌放疗技术新进展、放疗剂量模式改变等热点问题,回顾近期相关文献加以总结分析,归纳提示多模态影像对指导胰腺癌放疗有重要作用,放疗剂量模式向高剂量少分次方向发展,新辅助放疗的作用得到进一步证实,多药联合的强力化疗方案是胰腺癌放疗的主要联合方式。

Advances in radiotherapy for pancreatic cancer from 2019 to 2020

With the rapid development of radiotherapy equipment,imaging technology,and artificial intelligence,radiotherapy has entered the era of precision therapy.Radiotherapy is one of the important methods for the treatment of pancreatic cancer,and rapid progress has been made in related concepts and technical models of radiotherapy in recent years.With reference to the latest advances in radiotherapy technology and the change of radiotherapy dose mode,which the experts in the field of radiotherapy are concerned with,this article reviews and analyzes recent articles and points out that multimodal images play an important role in guiding radiotherapy for pancreatic cancer,and the dose mode of radiotherapy develops to high-dose hypofractionated radiotherapy.The effect of neoadjuvant radiotherapy has been further confirmed,and strong chemotherapy with the combination of multiple drugs is the main radiotherapy regimen for pancreatic cancer.