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Published in: Italian Journal of Pediatrics 1/2014

Open Access 01-12-2014 | Review

Proton radiotherapy for pediatric tumors: review of first clinical results

Authors: Barbara Rombi, Sabina Vennarini, Lorenzo Vinante, Daniele Ravanelli, Maurizio Amichetti

Published in: Italian Journal of Pediatrics | Issue 1/2014

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Abstract

Radiation therapy is a part of multidisciplinary management of several childhood cancers. Proton therapy is a new method of irradiation, which uses protons instead of photons. Proton radiation has been used safely and effectively for medulloblastoma, primitive neuro-ectodermal tumors, craniopharyngioma, ependymoma, germ cell intracranial tumors, low-grade glioma, retinoblastoma, rhabdomyosarcoma and other soft tissue sarcomas, Ewing’s sarcoma and other bone sarcomas. Moreover, other possible applications are emerging, in particular for lymphoma and neuroblastoma. Although both photon and proton techniques allow similar target volume coverage, the main advantage of proton radiation therapy is to sparing of intermediate-to-low-dose to healthy tissues. This characteristic could translate into clinical reduction of side effects, including a lower risk for secondary cancers. The following review presents the state of the art of proton therapy in the treatment of pediatric malignancies.
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Literature
1.
go back to reference Robison LL, Armstrong GT, Boice JD, Chow EJ, Davies SM, Donaldson SS, Green DM, Hammond S, Meadows AT, Mertens AC, Mulvihill JJ, Nathan PC, Neglia JP, Packer RJ, Rajaraman P, Sklar CA, Stovall M, Strong LC, Yasui Y, Zeltzer LK: The childhood cancer survivor study: a National Cancer Institute-supported resource for outcome and intervention research. J Clin Oncol. 2009, 27 (14): 2308-2318. 10.1200/JCO.2009.22.3339.PubMedCentralCrossRefPubMed Robison LL, Armstrong GT, Boice JD, Chow EJ, Davies SM, Donaldson SS, Green DM, Hammond S, Meadows AT, Mertens AC, Mulvihill JJ, Nathan PC, Neglia JP, Packer RJ, Rajaraman P, Sklar CA, Stovall M, Strong LC, Yasui Y, Zeltzer LK: The childhood cancer survivor study: a National Cancer Institute-supported resource for outcome and intervention research. J Clin Oncol. 2009, 27 (14): 2308-2318. 10.1200/JCO.2009.22.3339.PubMedCentralCrossRefPubMed
2.
go back to reference Ishida Y, Sakamoto N, Kamibeppu K, Kakee N, Iwai T, Ozono S, Maeda N, Okamura J, Asami K, Inada H, Honda M, Horibe K: Late effects and quality of life of childhood cancer survivors: part 2: impact of radiotherapy. Int J Hematol. 2010, 92 (1): 95-104. 10.1007/s12185-010-0611-z.CrossRefPubMed Ishida Y, Sakamoto N, Kamibeppu K, Kakee N, Iwai T, Ozono S, Maeda N, Okamura J, Asami K, Inada H, Honda M, Horibe K: Late effects and quality of life of childhood cancer survivors: part 2: impact of radiotherapy. Int J Hematol. 2010, 92 (1): 95-104. 10.1007/s12185-010-0611-z.CrossRefPubMed
3.
go back to reference Paganetti H, Niemierko A, Ancukiewicz M, Gerweck LE, Goitein M, Loeffler JS, Suit HD: Relative biological effectiveness (RBE) values for proton beam therapy. Int J Radiat Oncol Biol Phys. 2002, 53 (2): 407-421. 10.1016/S0360-3016(02)02754-2.CrossRefPubMed Paganetti H, Niemierko A, Ancukiewicz M, Gerweck LE, Goitein M, Loeffler JS, Suit HD: Relative biological effectiveness (RBE) values for proton beam therapy. Int J Radiat Oncol Biol Phys. 2002, 53 (2): 407-421. 10.1016/S0360-3016(02)02754-2.CrossRefPubMed
4.
go back to reference Miralbell R, Lomax A, Cella L, Schneider U: Potential reduction of the incidence of radiation-induced second cancers by using proton beams in the treatment of pediatric tumors. Int J Radiat Oncol Biol Phys. 2002, 54 (3): 824-829. 10.1016/S0360-3016(02)02982-6.CrossRefPubMed Miralbell R, Lomax A, Cella L, Schneider U: Potential reduction of the incidence of radiation-induced second cancers by using proton beams in the treatment of pediatric tumors. Int J Radiat Oncol Biol Phys. 2002, 54 (3): 824-829. 10.1016/S0360-3016(02)02982-6.CrossRefPubMed
5.
go back to reference Newhauser WD, Fontenot JD, Mahajan A, Kornguth D, Stovall M, Zheng Y, Taddei PJ, Mirkovic D, Mohan R, Cox JD, Woo S: The risk of developing a second cancer after receiving craniospinal proton irradiation. Phys Med Biol. 2009, 54 (8): 2277-2291. 10.1088/0031-9155/54/8/002.PubMedCentralCrossRefPubMed Newhauser WD, Fontenot JD, Mahajan A, Kornguth D, Stovall M, Zheng Y, Taddei PJ, Mirkovic D, Mohan R, Cox JD, Woo S: The risk of developing a second cancer after receiving craniospinal proton irradiation. Phys Med Biol. 2009, 54 (8): 2277-2291. 10.1088/0031-9155/54/8/002.PubMedCentralCrossRefPubMed
6.
go back to reference Brodin NP, Munck AF, Rosenschöld P, Aznar MC, Kiil-Berthelsen A, Vogelius IR, Nilsson P, Lannering B, Björk-Eriksson T: Radiobiological risk estimates of adverse events and secondary cancer for proton and photon radiation therapy of pediatric medulloblastoma. Acta Oncol. 2011, 50 (6): 806-816. 10.3109/0284186X.2011.582514.CrossRefPubMed Brodin NP, Munck AF, Rosenschöld P, Aznar MC, Kiil-Berthelsen A, Vogelius IR, Nilsson P, Lannering B, Björk-Eriksson T: Radiobiological risk estimates of adverse events and secondary cancer for proton and photon radiation therapy of pediatric medulloblastoma. Acta Oncol. 2011, 50 (6): 806-816. 10.3109/0284186X.2011.582514.CrossRefPubMed
7.
8.
go back to reference Bekelman JE, Asch DA, Tochner Z, Friedberg J, Vaughn DJ, Rash E, Raksowski K, Hahn SM: Principles and reality of proton therapy treatment allocation. Int J Radiat Oncol Biol Phys. 2014, 89 (3): 499-508. 10.1016/j.ijrobp.2014.03.023.PubMedCentralCrossRefPubMed Bekelman JE, Asch DA, Tochner Z, Friedberg J, Vaughn DJ, Rash E, Raksowski K, Hahn SM: Principles and reality of proton therapy treatment allocation. Int J Radiat Oncol Biol Phys. 2014, 89 (3): 499-508. 10.1016/j.ijrobp.2014.03.023.PubMedCentralCrossRefPubMed
9.
go back to reference Engelsman M, Schwarz M, Dong L: Physics controversies in proton therapy. Semin Radiat Oncol. 2013, 23 (8): 88-96. 10.1016/j.semradonc.2012.11.003.CrossRefPubMed Engelsman M, Schwarz M, Dong L: Physics controversies in proton therapy. Semin Radiat Oncol. 2013, 23 (8): 88-96. 10.1016/j.semradonc.2012.11.003.CrossRefPubMed
10.
go back to reference MacDonald SM, Safai S, Trofimov A, Wolfgang J, Fullerton B, Yeap BY, Bortfeld T, Tarbell NJ, Yock T: Proton radiotherapy for childhood ependymoma: initial clinical outcomes and dose comparisons. Int J Radiat Oncol Biol Phys. 2008, 71 (4): 979-986. 10.1016/j.ijrobp.2007.11.065.CrossRefPubMed MacDonald SM, Safai S, Trofimov A, Wolfgang J, Fullerton B, Yeap BY, Bortfeld T, Tarbell NJ, Yock T: Proton radiotherapy for childhood ependymoma: initial clinical outcomes and dose comparisons. Int J Radiat Oncol Biol Phys. 2008, 71 (4): 979-986. 10.1016/j.ijrobp.2007.11.065.CrossRefPubMed
11.
go back to reference Macdonald SM, Sethi R, Lavally B, Yeap BY, Marcus KJ, Caruso P, Pulsifer M, Huang M, Ebb D, Tarbell NJ, Yock TI: Proton radiotherapy for pediatric central nervous system ependymoma: clinical outcomes for 70 patients. Neuro Oncol. 2013, 15 (11): 1552-1559. 10.1093/neuonc/not121.PubMedCentralCrossRefPubMed Macdonald SM, Sethi R, Lavally B, Yeap BY, Marcus KJ, Caruso P, Pulsifer M, Huang M, Ebb D, Tarbell NJ, Yock TI: Proton radiotherapy for pediatric central nervous system ependymoma: clinical outcomes for 70 patients. Neuro Oncol. 2013, 15 (11): 1552-1559. 10.1093/neuonc/not121.PubMedCentralCrossRefPubMed
12.
go back to reference Amsbaugh MJ, Grosshans DR, McAleer MF, Zhu R, Wages C, Crawford CN, Palmer M, De Gracia B, Woo S, Mahajan A: Proton therapy for spinal ependymomas: planning, acute toxicities and preliminary outcomes. Int J Radiat Oncol Biol Phys. 2012, 83 (5): 1419-1424. 10.1016/j.ijrobp.2011.10.034.CrossRefPubMed Amsbaugh MJ, Grosshans DR, McAleer MF, Zhu R, Wages C, Crawford CN, Palmer M, De Gracia B, Woo S, Mahajan A: Proton therapy for spinal ependymomas: planning, acute toxicities and preliminary outcomes. Int J Radiat Oncol Biol Phys. 2012, 83 (5): 1419-1424. 10.1016/j.ijrobp.2011.10.034.CrossRefPubMed
13.
go back to reference Manaka S, Teramoto A, Takakura K: The efficacy of radiotherapy for craniopharyngioma. J Neurosurg. 1985, 62 (5): 648-656. 10.3171/jns.1985.62.5.0648.CrossRefPubMed Manaka S, Teramoto A, Takakura K: The efficacy of radiotherapy for craniopharyngioma. J Neurosurg. 1985, 62 (5): 648-656. 10.3171/jns.1985.62.5.0648.CrossRefPubMed
14.
go back to reference Fischer EG, Welch K, Shillito J, Winston KR, Tarbell NJ: Craniopharyngioma in children: long-term effects of conservative surgical procedures combined with radiation therapy. J Neurosurg. 1990, 73 (4): 534-540. 10.3171/jns.1990.73.4.0534.CrossRefPubMed Fischer EG, Welch K, Shillito J, Winston KR, Tarbell NJ: Craniopharyngioma in children: long-term effects of conservative surgical procedures combined with radiation therapy. J Neurosurg. 1990, 73 (4): 534-540. 10.3171/jns.1990.73.4.0534.CrossRefPubMed
15.
go back to reference Merchant TE, Hua CH, Shukla H, Ying X, Nill S, Oelfke U: Proton versus photon radiotherapy for common pediatric brain tumors: comparison of models of dose characteristics and their relationship to cognitive function. Pediatr Blood Cancer. 2008, 51 (1): 110-117. 10.1002/pbc.21530.CrossRefPubMed Merchant TE, Hua CH, Shukla H, Ying X, Nill S, Oelfke U: Proton versus photon radiotherapy for common pediatric brain tumors: comparison of models of dose characteristics and their relationship to cognitive function. Pediatr Blood Cancer. 2008, 51 (1): 110-117. 10.1002/pbc.21530.CrossRefPubMed
16.
go back to reference Boehling NS, Grosshans DR, Bluett JB, Palmer MT, Song X, Amos RA, Sahoo N, Meyer JJ, Mahajan A, Woo SY: Dosimetric comparison of three-dimensional conformal proton radiotherapy, intensity-modulated proton therapy, and intensity-modulated radiotherapy for treatment of pediatric craniopharyngiomas. Int J Radiat Oncol Biol Phys. 2012, 82 (2): 643-652. 10.1016/j.ijrobp.2010.11.027.CrossRefPubMed Boehling NS, Grosshans DR, Bluett JB, Palmer MT, Song X, Amos RA, Sahoo N, Meyer JJ, Mahajan A, Woo SY: Dosimetric comparison of three-dimensional conformal proton radiotherapy, intensity-modulated proton therapy, and intensity-modulated radiotherapy for treatment of pediatric craniopharyngiomas. Int J Radiat Oncol Biol Phys. 2012, 82 (2): 643-652. 10.1016/j.ijrobp.2010.11.027.CrossRefPubMed
17.
go back to reference Beltran C, Roca M, Merchant TE: On the benefits and risks of proton therapy in pediatric craniopharyngioma. Int J Radiat Oncol Biol Phys. 2012, 82 (2): e281-e287. 10.1016/j.ijrobp.2011.01.005.PubMedCentralCrossRefPubMed Beltran C, Roca M, Merchant TE: On the benefits and risks of proton therapy in pediatric craniopharyngioma. Int J Radiat Oncol Biol Phys. 2012, 82 (2): e281-e287. 10.1016/j.ijrobp.2011.01.005.PubMedCentralCrossRefPubMed
18.
go back to reference Luu QT, Loredo LN, Archambeau JO, Yonemoto LT, Slater JM, Slater JD: Fractionated proton radiation treatment for pediatric craniopharyngioma: preliminary report. Cancer J. 2006, 12 (2): 155-159.PubMed Luu QT, Loredo LN, Archambeau JO, Yonemoto LT, Slater JM, Slater JD: Fractionated proton radiation treatment for pediatric craniopharyngioma: preliminary report. Cancer J. 2006, 12 (2): 155-159.PubMed
19.
go back to reference Laffond C, Dellatolas G, Alapetite C, Puget S, Grill J, Habrand JL, Doz F, Chevignard M: Quality-of-life, mood and executive functioning after childhood craniopharyngioma treated with surgery and proton beam therapy. Brain Inj. 2012, 26 (3): 270-281. 10.3109/02699052.2011.648709.CrossRefPubMed Laffond C, Dellatolas G, Alapetite C, Puget S, Grill J, Habrand JL, Doz F, Chevignard M: Quality-of-life, mood and executive functioning after childhood craniopharyngioma treated with surgery and proton beam therapy. Brain Inj. 2012, 26 (3): 270-281. 10.3109/02699052.2011.648709.CrossRefPubMed
20.
go back to reference Zhang R, Howell RM, Homann K, Giebeler A, Taddei PJ, Mahajan A, Newhauser WD: Predicted risks of radiogenic cardiac toxicity in two pediatric patients undergoing photon or proton radiotherapy. Radiat Oncol. 2013, 8 (1): 184-10.1186/1748-717X-8-184.PubMedCentralCrossRefPubMed Zhang R, Howell RM, Homann K, Giebeler A, Taddei PJ, Mahajan A, Newhauser WD: Predicted risks of radiogenic cardiac toxicity in two pediatric patients undergoing photon or proton radiotherapy. Radiat Oncol. 2013, 8 (1): 184-10.1186/1748-717X-8-184.PubMedCentralCrossRefPubMed
21.
go back to reference Pérez-Andújar A, Newhauser WD, Taddei PJ, Mahajan A, Howell RM: The predicted relative risk of premature ovarian failure for three radiotherapy modalities in a girl receiving craniospinal irradiation. Phys Med Biol. 2013, 58 (10): 3107-3123. 10.1088/0031-9155/58/10/3107.CrossRefPubMed Pérez-Andújar A, Newhauser WD, Taddei PJ, Mahajan A, Howell RM: The predicted relative risk of premature ovarian failure for three radiotherapy modalities in a girl receiving craniospinal irradiation. Phys Med Biol. 2013, 58 (10): 3107-3123. 10.1088/0031-9155/58/10/3107.CrossRefPubMed
22.
go back to reference St Clair WH, Adams JA, Bues M, Fullerton BC, La Shell S, Kooy HM, Loeffler JS, Tarbell NJ: Advantage of protons compared to conventional X-ray or IMRT in the treatment of a pediatric patient with medulloblastoma. Int J Radiat Oncol Biol Phys. 2004, 58 (3): 727-734. 10.1016/S0360-3016(03)01574-8.CrossRefPubMed St Clair WH, Adams JA, Bues M, Fullerton BC, La Shell S, Kooy HM, Loeffler JS, Tarbell NJ: Advantage of protons compared to conventional X-ray or IMRT in the treatment of a pediatric patient with medulloblastoma. Int J Radiat Oncol Biol Phys. 2004, 58 (3): 727-734. 10.1016/S0360-3016(03)01574-8.CrossRefPubMed
23.
go back to reference Lin R, Hug EB, Schaefer RA, Miller DW, Slater JM, Slater JD: Conformal proton radiation therapy of the posterior fossa: a study comparing protons with three-dimensional planned photons in limiting dose to auditory structures. Int J Radiat Oncol Biol Phys. 2000, 48 (4): 1219-1226. 10.1016/S0360-3016(00)00741-0.CrossRefPubMed Lin R, Hug EB, Schaefer RA, Miller DW, Slater JM, Slater JD: Conformal proton radiation therapy of the posterior fossa: a study comparing protons with three-dimensional planned photons in limiting dose to auditory structures. Int J Radiat Oncol Biol Phys. 2000, 48 (4): 1219-1226. 10.1016/S0360-3016(00)00741-0.CrossRefPubMed
24.
go back to reference Moeller BJ, Chintagumpala M, Philip JJ, Grosshans DR, McAleer MF, Woo SY, Gidley PW, Vats TS, Mahajan A: Low early ototoxicity rates for pediatric medulloblastoma patients treated with proton radiotherapy. Radiat Oncol. 2011, 6: 58-10.1186/1748-717X-6-58.PubMedCentralCrossRefPubMed Moeller BJ, Chintagumpala M, Philip JJ, Grosshans DR, McAleer MF, Woo SY, Gidley PW, Vats TS, Mahajan A: Low early ototoxicity rates for pediatric medulloblastoma patients treated with proton radiotherapy. Radiat Oncol. 2011, 6: 58-10.1186/1748-717X-6-58.PubMedCentralCrossRefPubMed
25.
go back to reference Jimenez RB, Sethi R, Depauw N, Pulsifer MB, Adams J, McBride SM, Ebb D, Fullerton BC, Tarbell NJ, Yock TI, Macdonald SM: Proton radiation therapy for pediatric medulloblastoma and supratentorial primitive neuroectodermal tumors: outcomes for very young children treated with upfront chemotherapy. Int J Radiat Oncol Biol Phys. 2013, 87 (1): 120-126. 10.1016/j.ijrobp.2013.05.017.CrossRefPubMed Jimenez RB, Sethi R, Depauw N, Pulsifer MB, Adams J, McBride SM, Ebb D, Fullerton BC, Tarbell NJ, Yock TI, Macdonald SM: Proton radiation therapy for pediatric medulloblastoma and supratentorial primitive neuroectodermal tumors: outcomes for very young children treated with upfront chemotherapy. Int J Radiat Oncol Biol Phys. 2013, 87 (1): 120-126. 10.1016/j.ijrobp.2013.05.017.CrossRefPubMed
26.
go back to reference Kumar RJ, Zhai H, Both S, Tochner Z, Lustig R, Hill-Kayser C: Breast cancer screening for childhood cancer survivors after craniospinal irradiation with protons versus x-rays: a dosimetric analysis and review of the literature. J Pediatr Hematol Oncol. 2013, 35 (6): 462-467. 10.1097/MPH.0b013e31829bcdf8.CrossRefPubMed Kumar RJ, Zhai H, Both S, Tochner Z, Lustig R, Hill-Kayser C: Breast cancer screening for childhood cancer survivors after craniospinal irradiation with protons versus x-rays: a dosimetric analysis and review of the literature. J Pediatr Hematol Oncol. 2013, 35 (6): 462-467. 10.1097/MPH.0b013e31829bcdf8.CrossRefPubMed
27.
go back to reference Wolden SL: Protons for craniospinal radiation: are clinical data important?. Int J Radiat Oncol Biol Phys. 2013, 87 (2): 231-232. 10.1016/j.ijrobp.2013.05.036.CrossRefPubMed Wolden SL: Protons for craniospinal radiation: are clinical data important?. Int J Radiat Oncol Biol Phys. 2013, 87 (2): 231-232. 10.1016/j.ijrobp.2013.05.036.CrossRefPubMed
28.
go back to reference Johnstone PA, McMullen KP, Buchsbaum JC, Douglas JG, Helft P: Pediatric CSI: are protons the only ethical approach?. Int J Radiat Oncol Biol Phys. 2013, 87 (2): 228-230. 10.1016/j.ijrobp.2013.05.037.CrossRefPubMed Johnstone PA, McMullen KP, Buchsbaum JC, Douglas JG, Helft P: Pediatric CSI: are protons the only ethical approach?. Int J Radiat Oncol Biol Phys. 2013, 87 (2): 228-230. 10.1016/j.ijrobp.2013.05.037.CrossRefPubMed
29.
go back to reference Aoyama H, Shirato H, Ikeda J, Fujieda K, Miyasaka K, Sawamura Y: Induction chemotherapy followed by low-dose involved-field radiotherapy for intracranial germ cell tumors. J Clin Oncol. 2002, 20 (3): 857-865. 10.1200/JCO.20.3.857.CrossRefPubMed Aoyama H, Shirato H, Ikeda J, Fujieda K, Miyasaka K, Sawamura Y: Induction chemotherapy followed by low-dose involved-field radiotherapy for intracranial germ cell tumors. J Clin Oncol. 2002, 20 (3): 857-865. 10.1200/JCO.20.3.857.CrossRefPubMed
30.
go back to reference MacDonald SM, Trofimov A, Safai S, Adams J, Fullerton B, Ebb D, Tarbell NJ, Yock TI: Proton radiotherapy for pediatric central nervous system germ cell tumors: early clinical outcomes. Int J Radiat Oncol Biol Phys. 2011, 79 (1): 121-129. 10.1016/j.ijrobp.2009.10.069.CrossRefPubMed MacDonald SM, Trofimov A, Safai S, Adams J, Fullerton B, Ebb D, Tarbell NJ, Yock TI: Proton radiotherapy for pediatric central nervous system germ cell tumors: early clinical outcomes. Int J Radiat Oncol Biol Phys. 2011, 79 (1): 121-129. 10.1016/j.ijrobp.2009.10.069.CrossRefPubMed
31.
go back to reference Merchant TE, Kun LE, Wu S, Xiong X, Sanford RA, Boop FA: Phase II trial of conformal radiation therapy for pediatric low-grade glioma. J Clin Oncol. 2009, 27 (22): 3598-3604. 10.1200/JCO.2008.20.9494.PubMedCentralCrossRefPubMed Merchant TE, Kun LE, Wu S, Xiong X, Sanford RA, Boop FA: Phase II trial of conformal radiation therapy for pediatric low-grade glioma. J Clin Oncol. 2009, 27 (22): 3598-3604. 10.1200/JCO.2008.20.9494.PubMedCentralCrossRefPubMed
32.
go back to reference Hug EB, Muenter MW, Archambeau JO, DeVries A, Liwnicz B, Loredo LN, Grove RI, Slater JD: Conformal proton radiation therapy for pediatric low-grade astrocytomas. Strahlenther Onkol. 2002, 178 (1): 10-17. 10.1007/s00066-002-0874-2.CrossRefPubMed Hug EB, Muenter MW, Archambeau JO, DeVries A, Liwnicz B, Loredo LN, Grove RI, Slater JD: Conformal proton radiation therapy for pediatric low-grade astrocytomas. Strahlenther Onkol. 2002, 178 (1): 10-17. 10.1007/s00066-002-0874-2.CrossRefPubMed
33.
go back to reference Fuss M, Hug EB, Schaefer RA, Nevinny-Stickel M, Miller DW, Slater JM, Slater JD: Proton radiation therapy (PRT) for pediatric optic pathway gliomas: comparison with 3D planned conventional photons and a standard photon technique. Int J Radiat Oncol Biol Phys. 1999, 45 (5): 1117-1126. 10.1016/S0360-3016(99)00337-5.CrossRefPubMed Fuss M, Hug EB, Schaefer RA, Nevinny-Stickel M, Miller DW, Slater JM, Slater JD: Proton radiation therapy (PRT) for pediatric optic pathway gliomas: comparison with 3D planned conventional photons and a standard photon technique. Int J Radiat Oncol Biol Phys. 1999, 45 (5): 1117-1126. 10.1016/S0360-3016(99)00337-5.CrossRefPubMed
34.
go back to reference Timmermann B, Schuck A, Niggli F, Weiss M, Lomax AJ, Pedroni E, Coray A, Jermann M, Rutz HP, Goitein G: Spot-scanning proton therapy for malignant soft tissue tumors in childhood: first experiences at the Paul Scherrer Institute. Int J Radiat Oncol Biol Phys. 2007, 67 (2): 497-504. 10.1016/j.ijrobp.2006.08.053.CrossRefPubMed Timmermann B, Schuck A, Niggli F, Weiss M, Lomax AJ, Pedroni E, Coray A, Jermann M, Rutz HP, Goitein G: Spot-scanning proton therapy for malignant soft tissue tumors in childhood: first experiences at the Paul Scherrer Institute. Int J Radiat Oncol Biol Phys. 2007, 67 (2): 497-504. 10.1016/j.ijrobp.2006.08.053.CrossRefPubMed
35.
go back to reference Yock T, Schneider R, Friedmann A, Adams J, Fullerton B, Tarbell N: Proton radiotherapy for orbital rhabdomyosarcoma: clinical outcome and a dosimetric comparison with photons. Int J Radiat Oncol Biol Phys. 2005, 63 (4): 1161-1168. 10.1016/j.ijrobp.2005.03.052.CrossRefPubMed Yock T, Schneider R, Friedmann A, Adams J, Fullerton B, Tarbell N: Proton radiotherapy for orbital rhabdomyosarcoma: clinical outcome and a dosimetric comparison with photons. Int J Radiat Oncol Biol Phys. 2005, 63 (4): 1161-1168. 10.1016/j.ijrobp.2005.03.052.CrossRefPubMed
36.
go back to reference Kozak KR, Adams J, Krejcarek SJ, Tarbell NJ, Yock TI: A dosimetric comparison of proton and intensity-modulated photon radiotherapy for pediatric parameningealrhabdomyosarcomas. Int J Radiat Oncol Biol Phys. 2009, 74 (1): 179-186. 10.1016/j.ijrobp.2008.06.1942.CrossRefPubMed Kozak KR, Adams J, Krejcarek SJ, Tarbell NJ, Yock TI: A dosimetric comparison of proton and intensity-modulated photon radiotherapy for pediatric parameningealrhabdomyosarcomas. Int J Radiat Oncol Biol Phys. 2009, 74 (1): 179-186. 10.1016/j.ijrobp.2008.06.1942.CrossRefPubMed
37.
go back to reference Childs SK, Kozak KR, Friedmann AM, Yeap BY, Adams J, MacDonald SM, Liebsch NJ, Tarbell NJ, Yock TI: Proton radiotherapy for parameningeal rhabdomyosarcoma: clinical outcomes and late effects. Int J Radiat Oncol Biol Phys. 2012, 82 (2): 635-642. 10.1016/j.ijrobp.2010.11.048.PubMedCentralCrossRefPubMed Childs SK, Kozak KR, Friedmann AM, Yeap BY, Adams J, MacDonald SM, Liebsch NJ, Tarbell NJ, Yock TI: Proton radiotherapy for parameningeal rhabdomyosarcoma: clinical outcomes and late effects. Int J Radiat Oncol Biol Phys. 2012, 82 (2): 635-642. 10.1016/j.ijrobp.2010.11.048.PubMedCentralCrossRefPubMed
38.
go back to reference Raney RB, Asmar L, Vassilopoulou-Sellin R, Klein MJ, Donaldson SS, Green J, Heyn R, Wharam M, Glicksman AS, Gehan EA, Anderson J, Maurer HM: Late complications of therapy in 213 children with localized, nonorbital soft-tissue sarcoma of the head and neck: a descriptive report from the Intergroup Rhabdomyosarcoma Studies (IRS)-II and - III: IRS Group of the Children's Cancer Group and the Pediatric Oncology Group. Med Pediatr Oncol. 1999, 33 (4): 362-371. 10.1002/(SICI)1096-911X(199910)33:4<362::AID-MPO4>3.0.CO;2-I.CrossRefPubMed Raney RB, Asmar L, Vassilopoulou-Sellin R, Klein MJ, Donaldson SS, Green J, Heyn R, Wharam M, Glicksman AS, Gehan EA, Anderson J, Maurer HM: Late complications of therapy in 213 children with localized, nonorbital soft-tissue sarcoma of the head and neck: a descriptive report from the Intergroup Rhabdomyosarcoma Studies (IRS)-II and - III: IRS Group of the Children's Cancer Group and the Pediatric Oncology Group. Med Pediatr Oncol. 1999, 33 (4): 362-371. 10.1002/(SICI)1096-911X(199910)33:4<362::AID-MPO4>3.0.CO;2-I.CrossRefPubMed
39.
go back to reference Paulino AC, Simon JH, Zhen W, Wen BC: Long-term effects in children treated with radiotherapy for head and neck rhabdomyosarcoma. Int J Radiat Oncol Biol Phys. 2000, 48 (5): 1489-1495. 10.1016/S0360-3016(00)00799-9.CrossRefPubMed Paulino AC, Simon JH, Zhen W, Wen BC: Long-term effects in children treated with radiotherapy for head and neck rhabdomyosarcoma. Int J Radiat Oncol Biol Phys. 2000, 48 (5): 1489-1495. 10.1016/S0360-3016(00)00799-9.CrossRefPubMed
40.
go back to reference Cotter SE, Herrup DA, Friedmann A, Macdonald SM, Pieretti RV, Robinson G, Adams J, Tarbell NJ, Yock TI: Proton radiotherapy for pediatric bladder/prostate rhabdomyosarcoma: clinical outcomes and dosimetry compared to intensity-modulated radiation therapy. Int J Radiat Oncol Biol Phys. 2011, 81 (5): 1367-1373. 10.1016/j.ijrobp.2010.07.1989.CrossRefPubMed Cotter SE, Herrup DA, Friedmann A, Macdonald SM, Pieretti RV, Robinson G, Adams J, Tarbell NJ, Yock TI: Proton radiotherapy for pediatric bladder/prostate rhabdomyosarcoma: clinical outcomes and dosimetry compared to intensity-modulated radiation therapy. Int J Radiat Oncol Biol Phys. 2011, 81 (5): 1367-1373. 10.1016/j.ijrobp.2010.07.1989.CrossRefPubMed
41.
go back to reference Rombi B, DeLaney TF, MacDonald SM, Huang MS, Ebb DH, Liebsch NJ, Raskin KA, Yeap BY, Marcus KJ, Tarbell NJ, Yock TI: Proton radiotherapy for pediatric Ewing's sarcoma: initial clinical outcomes. Int J Radiat Oncol Biol Phys. 2012, 82 (3): 1142-1148. 10.1016/j.ijrobp.2011.03.038.CrossRefPubMed Rombi B, DeLaney TF, MacDonald SM, Huang MS, Ebb DH, Liebsch NJ, Raskin KA, Yeap BY, Marcus KJ, Tarbell NJ, Yock TI: Proton radiotherapy for pediatric Ewing's sarcoma: initial clinical outcomes. Int J Radiat Oncol Biol Phys. 2012, 82 (3): 1142-1148. 10.1016/j.ijrobp.2011.03.038.CrossRefPubMed
42.
go back to reference Habrand JL, Schneider R, Alapetite C, Feuvret L, Petras S, Datchary J, Grill J, Noel G, Helfre S, Ferrand R, Bolle S, Sainte-Rose C: Proton therapy in pediatric skull base and cervical canal low-grade bone malignancies. Int J Radiat Oncol Biol Phys. 2008, 71 (3): 672-675. 10.1016/j.ijrobp.2008.02.043.CrossRefPubMed Habrand JL, Schneider R, Alapetite C, Feuvret L, Petras S, Datchary J, Grill J, Noel G, Helfre S, Ferrand R, Bolle S, Sainte-Rose C: Proton therapy in pediatric skull base and cervical canal low-grade bone malignancies. Int J Radiat Oncol Biol Phys. 2008, 71 (3): 672-675. 10.1016/j.ijrobp.2008.02.043.CrossRefPubMed
43.
go back to reference Rombi B, Ares C, Hug EB, Schneider R, Goitein G, Staab A, Albertini F, Bolsi A, Lomax AJ, Timmermann B: Spot-scanning proton radiation therapy for pediatric chordoma and chondrosarcoma: clinical outcome of 26 patients treated at Paul Scherrer Institute. Int J Radiat Oncol Biol Phys. 2013, 86 (3): 578-584. 10.1016/j.ijrobp.2013.02.026.CrossRefPubMed Rombi B, Ares C, Hug EB, Schneider R, Goitein G, Staab A, Albertini F, Bolsi A, Lomax AJ, Timmermann B: Spot-scanning proton radiation therapy for pediatric chordoma and chondrosarcoma: clinical outcome of 26 patients treated at Paul Scherrer Institute. Int J Radiat Oncol Biol Phys. 2013, 86 (3): 578-584. 10.1016/j.ijrobp.2013.02.026.CrossRefPubMed
44.
go back to reference Krengli M, Hug EB, Adams JA, Smith AR, Tarbell NJ, Munzenrider JE: Proton radiation therapy for retinoblastoma: comparison of various intraocular tumor locations and beam arrangements. Int J Radiat Oncol Biol Phys. 2005, 61 (2): 583-593. 10.1016/j.ijrobp.2004.06.003.CrossRefPubMed Krengli M, Hug EB, Adams JA, Smith AR, Tarbell NJ, Munzenrider JE: Proton radiation therapy for retinoblastoma: comparison of various intraocular tumor locations and beam arrangements. Int J Radiat Oncol Biol Phys. 2005, 61 (2): 583-593. 10.1016/j.ijrobp.2004.06.003.CrossRefPubMed
45.
go back to reference Sethi RV, Shih HA, Yeap BY, Mouw KW, Petersen R, Kim DY, Munzenrider JE, Grabowski E, Rodriguez-Galindo C, Yock TI, Tarbell NJ, Marcus KJ, Mukai S, Macdonald SM: Second nonocular tumors among survivors of retinoblastoma treated with contemporary photon and proton radiotherapy. Cancer. 2014, 120 (1): 126-133. 10.1002/cncr.28387.PubMedCentralCrossRefPubMed Sethi RV, Shih HA, Yeap BY, Mouw KW, Petersen R, Kim DY, Munzenrider JE, Grabowski E, Rodriguez-Galindo C, Yock TI, Tarbell NJ, Marcus KJ, Mukai S, Macdonald SM: Second nonocular tumors among survivors of retinoblastoma treated with contemporary photon and proton radiotherapy. Cancer. 2014, 120 (1): 126-133. 10.1002/cncr.28387.PubMedCentralCrossRefPubMed
46.
go back to reference Hattangadi JA, Rombi B, Yock TI, Broussard G, Friedmann AM, Huang M, Chen YL, Lu HM, Kooy H, MacDonald SM: Proton radiotherapy for high-risk pediatric neuroblastoma: early outcomes and dose comparison. Int J Radiat Oncol Biol Phys. 2012, 83 (3): 1015-1022. 10.1016/j.ijrobp.2011.08.035.CrossRefPubMed Hattangadi JA, Rombi B, Yock TI, Broussard G, Friedmann AM, Huang M, Chen YL, Lu HM, Kooy H, MacDonald SM: Proton radiotherapy for high-risk pediatric neuroblastoma: early outcomes and dose comparison. Int J Radiat Oncol Biol Phys. 2012, 83 (3): 1015-1022. 10.1016/j.ijrobp.2011.08.035.CrossRefPubMed
47.
go back to reference Hill-Kayser C, Tochner Z, Both S, Lustig R, Reilly A, Balamuth N, Womer R, Maris J, Grupp S, Bagatell R: Proton versus photon radiation therapy for patients with high-risk neuroblastoma: the need for a customized approach. Pediatr Blood Cancer. 2013, 60 (10): 1606-1611. 10.1002/pbc.24606.CrossRefPubMed Hill-Kayser C, Tochner Z, Both S, Lustig R, Reilly A, Balamuth N, Womer R, Maris J, Grupp S, Bagatell R: Proton versus photon radiation therapy for patients with high-risk neuroblastoma: the need for a customized approach. Pediatr Blood Cancer. 2013, 60 (10): 1606-1611. 10.1002/pbc.24606.CrossRefPubMed
48.
go back to reference Fuji H, Schneider U, Ishida Y, Konno M, Yamashita H, Kase Y, Murayama S, Onoe T, Ogawa H, Harada H, Asakura H, Nishimura T: Assessment of organ dose reduction and secondary cancer risk associated with the use of proton beam therapy and intensity modulated radiation therapy in treatment of neuroblastomas. Radiat Oncol. 2013, 8 (1): 255-10.1186/1748-717X-8-255.PubMedCentralCrossRefPubMed Fuji H, Schneider U, Ishida Y, Konno M, Yamashita H, Kase Y, Murayama S, Onoe T, Ogawa H, Harada H, Asakura H, Nishimura T: Assessment of organ dose reduction and secondary cancer risk associated with the use of proton beam therapy and intensity modulated radiation therapy in treatment of neuroblastomas. Radiat Oncol. 2013, 8 (1): 255-10.1186/1748-717X-8-255.PubMedCentralCrossRefPubMed
49.
go back to reference Hoppe BS, Flampouri S, Su Z, Morris CG, Latif N, Dang NH, Lynch J, Li Z, Mendenhall NP: Consolidative involved-node proton therapy for Stage IA-IIIB mediastinal Hodgkin lymphoma: preliminary dosimetric outcomes from a Phase II study. Int J Radiat Oncol Biol Phys. 2012, 83 (1): 260-267. 10.1016/j.ijrobp.2011.06.1959.CrossRefPubMed Hoppe BS, Flampouri S, Su Z, Morris CG, Latif N, Dang NH, Lynch J, Li Z, Mendenhall NP: Consolidative involved-node proton therapy for Stage IA-IIIB mediastinal Hodgkin lymphoma: preliminary dosimetric outcomes from a Phase II study. Int J Radiat Oncol Biol Phys. 2012, 83 (1): 260-267. 10.1016/j.ijrobp.2011.06.1959.CrossRefPubMed
50.
go back to reference Hoppe BS, Flampouri S, Su Z, Latif N, Dang NH, Lynch J, Joyce M, Sandler E, Li Z, Mendenhall NP: Effective dose reduction to cardiac structures using protons compared with 3DCRT and IMRT in mediastinal Hodgkin lymphoma. Int J Radiat Oncol Biol Phys. 2012, 84 (2): 449-455. 10.1016/j.ijrobp.2011.12.034.CrossRefPubMed Hoppe BS, Flampouri S, Su Z, Latif N, Dang NH, Lynch J, Joyce M, Sandler E, Li Z, Mendenhall NP: Effective dose reduction to cardiac structures using protons compared with 3DCRT and IMRT in mediastinal Hodgkin lymphoma. Int J Radiat Oncol Biol Phys. 2012, 84 (2): 449-455. 10.1016/j.ijrobp.2011.12.034.CrossRefPubMed
51.
go back to reference Andolino DL, Hoene T, Xiao L, Buchsbaum J, Chang AL: Dosimetric comparison of involved-field three-dimensional conformal photon radiotherapy and breast-sparing proton therapy for the treatment of Hodgkin's lymphoma in female pediatric patients. Int J Radiat Oncol Biol Phys. 2011, 81 (4): e667-e671. 10.1016/j.ijrobp.2011.01.061.CrossRefPubMed Andolino DL, Hoene T, Xiao L, Buchsbaum J, Chang AL: Dosimetric comparison of involved-field three-dimensional conformal photon radiotherapy and breast-sparing proton therapy for the treatment of Hodgkin's lymphoma in female pediatric patients. Int J Radiat Oncol Biol Phys. 2011, 81 (4): e667-e671. 10.1016/j.ijrobp.2011.01.061.CrossRefPubMed
Metadata
Title
Proton radiotherapy for pediatric tumors: review of first clinical results
Authors
Barbara Rombi
Sabina Vennarini
Lorenzo Vinante
Daniele Ravanelli
Maurizio Amichetti
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2014
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/s13052-014-0074-6

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