Seminars in Radiation Oncology
Volume 17, Issue 1 , Pages 53-61, January 2007

Considerations in Treatment Planning for Esophageal Cancer

  • Theodore S. Hong, MD

      Affiliations

    • Department of Radiation Oncology, Massachusetts General Hospital, Boston, MA.
  • ,
  • Elizabeth M. Crowley, MS

      Affiliations

    • Department of Radiation Oncology, Massachusetts General Hospital, Boston, MA.
  • ,
  • Joseph Killoran, PhD

      Affiliations

    • Department of Radiation Oncology, Dana Farber Cancer Institute, Brigham and Women’s Hospital, Boston, MA.
  • ,
  • Harvey J. Mamon, MD, PhD

      Affiliations

    • Department of Radiation Oncology, Dana Farber Cancer Institute, Brigham and Women’s Hospital, Boston, MA.
    • Corresponding Author InformationAddress reprint requests to Harvey J. Mamon, MD, PhD, Department of Radiation Oncology, Dana Farber Cancer Institute, Brigham and Women’s Hospital, 75 Francis Street, L2, Boston, MA 02115.

Radiation therapy is an important component of the multidisciplinary management of esophageal cancer. In this article, we review the current approaches to achieving the desired dose to the esophagus and regional lymph nodes, with an emphasis on the dose constraints to adjacent normal structures, particularly the heart and lungs. The application of newer technologies such as positron-emission tomography/computed tomography scanning and intensity-modulated radiation therapy is also explored.

Keywords: esophageal cancer, treatment planning, normal tissue tolerance, PET scanning, IMRT

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PII: S1053-4296(06)00066-X

doi:10.1016/j.semradonc.2006.09.001

Seminars in Radiation Oncology
Volume 17, Issue 1 , Pages 53-61, January 2007