Cengiz KURTMAN, Manuchehr Salehi GAREVERAN, Esra GÜMÜŞTEPE

GERİATRİDE RADYOTERAPİ

İnsan ömrü uzamaktadır, bu nedenle Geriatrik hasta sayısında artış beklenmektedir. Geriatrik hastalarda radyoterapi RT uygulamaları geçmişte cesaret vericidir. Radyoterapinin tümör ve mikro çevrede etkileri daha iyi anlaşılabilmektedir. Son dönemde Radyasyon Onkolojisi alanında teknolojik ve tedavi etkinliği 3D-CRT, IMRT, SBRT, Tomoterapi, Proton RT, Brakiterapi ve Hipofraksiyone RT radyasyonun yan etkilerini ve süresini azaltmış ve tümör tedavi etkinliğini arttırmıştır. Geriatride RT etkinliğini olumlu yönde güncellemek gerekmektedir. Bu derlemede geriatrik hastalarda radyasyonun biyolojik ve toksik etkileri, geçmişte yapılan tedavilerin etki ve sonuçları, yeni teknolojik gelişmelerin etkisiyle günümüzdeki RT seçenekleri ve güncellenmesi gereken hususlara vurgu yapılmıştır

Anahtar Kelimeler:

Geriatri, Radyoterapi

GERIATRIC RADIOTHERAPY

Human life is increased, so it is expected to increase in the number of geriatric patients. Radiotherapy RT applications in the past in geriatric patients has been encouraging. Effects of radiotherapy and the tumor micro-environment can be better understood. Recently, technological and therapeutic efficacy in the Radiation Oncology field of 3D-CRT, IMRT, SBRT, Tomotherapy, Proton RT, Brachytherapy and Hypofractionated RT reduce the side effects of radiation and its duration and increased tumor efficacy. RT effect is required to update for geriatric in a positive way. In this review, biological and toxic effects of radiation in geriatric patients and the results of treatment which has been given in the past, emphasize to the issues of the impact of new technological developments and should be updated with current RT options

Keywords:

Geriatrics, Radiotherapy,

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