
pmid: 33604296
pmc: PMC7884826
During the last years, preclinical and clinical studies have emerged supporting the rationale to integrate radiotherapy and immunotherapy. Radiotherapy may enhance the effects of immunotherapy by improving tumor antigen release, antigen presentation, and T-cell infiltration. Recently, magnetic resonance guided radiotherapy (MRgRT) has become clinically available. Compared to conventional radiotherapy techniques, MRgRT firstly allows for daily on-table treatment adaptation, which enables both dose escalation for increasing tumor response and superior sparing of radiosensitive organs-at-risk for reducing toxicity. The current review focuses on the potential of combining MR-guided adaptive radiotherapy with immunotherapy by providing an overview on the current status of MRgRT, latest developments in preclinical and clinical radio-immunotherapy, and the unique opportunities and challenges for MR-guided radio-immunotherapy. MRgRT might especially assist in answering open questions in radio-immunotherapy regarding optimal radiation dose, fractionation, timing of immunotherapy, appropriate irradiation volumes, and response prediction.
magnetic resonance-guided radiotherapy, Radboudumc 2: Cancer development and immune defence RIMLS: Radboud Institute for Molecular Life Sciences, Oncology, adaptive treatment, preclinical, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, immunotherapy, Radboudumc 14: Tumours of the digestive tract RIHS: Radboud Institute for Health Sciences, radio-immunotherapy, RC254-282
magnetic resonance-guided radiotherapy, Radboudumc 2: Cancer development and immune defence RIMLS: Radboud Institute for Molecular Life Sciences, Oncology, adaptive treatment, preclinical, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, immunotherapy, Radboudumc 14: Tumours of the digestive tract RIHS: Radboud Institute for Health Sciences, radio-immunotherapy, RC254-282
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