Adaptive Radiotherapy for Bladder Cancer—A Systematic Review

What is it about?

This article reports on a systematic review conducted in May 2016, which aimed to examine the adaptive strategies that have been developed for bladder cancer and assessing the efficacy in improving treatment quality. Among the 18 identified publications, three adaptive strategies were reported: plan of the day, patient-specific planning target volume, and daily reoptimisation.

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Why is it important?

Overall, any of the adaptive strategies achieved a significant improvement in reducing the irradiated volume compared with the nonadaptive approach, outweighing the additional resource required for its execution. The review identified the amount and the type of resource required for each adaptive method vary from strategy to strategy, suggesting the need for the individual institution to assess feasibility based on the existing infrastructure to identify the most appropriate strategy for implementation.