radiation oncology

Siteman Cancer Center’s parent institutions have named two new leaders in radiation oncology. Dan Kinzel is executive director of radiation oncology at Washington University School of Medicine. Sharon Endicott is director of radiation oncology for Barnes-Jewish Hospital.

Doctors at the School of Medicine have shown that testing cervical tumors before treatment for vulnerability to chemotherapy predicts whether patients will do well or poorly with standard treatment. The study supports the future possibility of personalized medicine for cervical cancer, a tumor normally addressed with a one-size-fits-all approach. Pictured is a cervical tumor visible on a PET/CT scan.

Two Washington University faculty members have received awards from the Radiation Research Society recognizing their contributions to research in the field and their service to the society.

GrigsbyDoctors regularly use positron emission tomography (PET) scans to diagnose cervical cancer, taking advantage of the technique’s ability to highlight metabolic differences in cancerous tissues. But PET is rarely used for follow-up assessment of cervical cancer patients after treatment. A study in the June 1 issue of Journal of Clinical Oncology shows that post-treatment PET scans could help physicians better predict which patients are largely cancer-free as a result of their treatment and which patients may soon be likely to need additional treatment.

Lung cancer tumor to be treated with radiation.More than half of the lung cancer patients who receive radiation treatment for their illness develop a painful swelling and inflammation in the esophagus known as esophagitis. Although treating the lung cancer is the top priority for doctors, researchers at Washington University School of Medicine in St. Louis hope to lower the risk of this unpleasant side effect. They have quantified risk factors for esophagitis, linking it to the amount of radiation a patient’s esophagus receives and to simultaneous chemotherapy. The findings mean it may be possible to predict and potentially avoid esophagitis, according to Jeffrey D. Bradley, M.D., assistant professor of radiation oncology and lead author of a paper published recently in the International Journal of Radiation Oncology, Biology, Physics.

A new technique in development will produce quick and efficient radiation dosing.Researchers at Washington University in St. Louis have developed a technique that makes radiation oncologists significantly faster at calculating radiation dosages for patients undergoing cancer treatment. The technique also provides a more carefully controlled dosage of radiation to cancerous cells that is less likely to damage nearby healthy tissues. The research team — led by Victor Wickerhauser, Ph.D., professor of mathematics in Arts & Sciences and Joseph O. Deasy, Ph.D., assistant professor of radiation oncology at the School of Medicine — has turned to a mathematical tool called wavelet analysis to calculate radiation dose distributions. The tool has helped speed up the dose calculations by a factor of two or more compared to the standard dose calculation technique.