PMID- 32175118 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231113 IS - 2078-6891 (Print) IS - 2219-679X (Electronic) IS - 2078-6891 (Linking) VI - 11 IP - 1 DP - 2020 Feb TI - The emerging role of proton therapy for esophagus cancer. PG - 144-156 LID - 10.21037/jgo.2019.11.04 [doi] AB - Chemoradiotherapy (CRT) plays an essential role in the treatment of esophageal cancer as either curative or neoadjuvant therapy. When delivered with conventional photon-based techniques, multiple adjacent organs at risk including the heart, lungs, kidneys, liver, stomach, and bowel, receive considerable radiation dose which may contribute to acute and late adverse events (AEs). Proton beam therapy (PBT) offers a reduction in radiation exposure to these organs and potentially an improvement in the therapeutic ratio. Herein we discuss the emerging role of PBT for esophageal cancer, including rationale, treatment planning, early dosimetric and clinical comparisons of PBT with photon-based techniques, ongoing prospective trials, and potential areas of opportunity for the incorporation of PBT with the goal of improving outcomes for patients with esophageal cancer. CI - 2020 Journal of Gastrointestinal Oncology. All rights reserved. FAU - Jethwa, Krishan R AU - Jethwa KR AD - Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT, USA. FAU - Haddock, Michael G AU - Haddock MG AD - Department of Radiation Oncology, Mayo Clinic, Rochester, MN, USA. FAU - Tryggestad, Erik J AU - Tryggestad EJ AD - Department of Radiation Oncology, Mayo Clinic, Rochester, MN, USA. FAU - Hallemeier, Christopher L AU - Hallemeier CL AD - Department of Radiation Oncology, Mayo Clinic, Rochester, MN, USA. LA - eng PT - Journal Article PT - Review PL - China TA - J Gastrointest Oncol JT - Journal of gastrointestinal oncology JID - 101557751 PMC - PMC7052753 OTO - NOTNLM OT - Esophagus cancer OT - chemoradiation OT - proton therapy COIS- Conflicts of Interest: The authors have no conflicts of interest to declare. EDAT- 2020/03/17 06:00 MHDA- 2020/03/17 06:01 PMCR- 2020/02/01 CRDT- 2020/03/17 06:00 PHST- 2020/03/17 06:00 [entrez] PHST- 2020/03/17 06:00 [pubmed] PHST- 2020/03/17 06:01 [medline] PHST- 2020/02/01 00:00 [pmc-release] AID - jgo-11-01-144 [pii] AID - 10.21037/jgo.2019.11.04 [doi] PST - ppublish SO - J Gastrointest Oncol. 2020 Feb;11(1):144-156. doi: 10.21037/jgo.2019.11.04.