The evolving role for re-irradiation in the management of recurrent grade 4 glioma

Steven P. Howard, Andra Krauze, Mike D. Chan, Christina Tsien, Wolfgang A. Tomé

    Research output: Contribution to journalReview articlepeer-review

    9 Scopus citations


    Although significant gains have been realized in the management of grade 4 glioma, the majority of these patients will ultimately suffer local recurrence within the prior field of treatment. Clearly, novel local treatment strategies are required to improve patient outcomes. Concerns of toxicity have limited enthusiasm for the utilization of re-irradiation as a treatment option. However, using modern imaging technology and precision radiotherapy delivery techniques re-irradiation has proven a feasible option achieving both a palliative benefit and prolongation of survival with low toxicity rates. The evolution of re-irradiation as a treatment modality for recurrent grade 4 glioma is reviewed. In addition, potential targeted radiosensitizers to be used in conjunction with re-irradiation are also discussed.

    Original languageEnglish
    Pages (from-to)523-530
    Number of pages8
    JournalJournal of Neuro-Oncology
    Issue number3
    StatePublished - Sep 1 2017


    • Central nervous system
    • Radiosensitizers
    • Re-irradiation
    • Recurrent grade 4 glioma


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