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JCI table of contents: June 23, 2010

Researchers have found that modulating the adrenal gland's production of glucocorticoid hormones can regulate the resetting of the internal body clock, providing a new potential therapy for jet lag. This discovery also has implications for those who suffer from rotating shift work and its associated health problems.

SourceJCI Journals·JournalJournal of Clinical Investigation·DateJun 23, 2010

Targeted intraoperative radiotherapy is as good as whole breast radiotherapy at reducing breast cancer recurrence, and can be carried out in one hospital visit (TARGIT-A trial)

The TARGIT-A trial found that targeted intraoperative radiotherapy (TARGIT) is non-inferior to whole breast external beam radiotherapy in reducing local recurrences. Patients who underwent TARGIT had similar recurrence rates to those receiving conventional radiotherapy, with lower rates of radiotherapy toxicity.

SourceThe Lancet_DELETED·JournalThe Lancet·DateJun 5, 2010

Well-tolerated radiotherapy provides longer life to patients with recurrent brain cancer

Researchers at Thomas Jefferson University found that hypofractionated stereotactic radiotherapy significantly improves survival rates for patients with recurrent brain cancers, while minimizing side effects. The treatment provides longer survival without experiencing common chemotherapy and targeted therapy side effects.

SourceThomas Jefferson University·JournalJournal of Clinical Oncology·DateMay 17, 2010

Meta-analysis: Radiotherapy variants improve survival in non-metastatic lung cancer

A new meta-analysis reports that hyperfractionated and accelerated radiotherapy regimens improve overall survival in non-small-cell lung cancer patients by 3% after 5 years. Modified fractionation of radiotherapy also shows benefits for small-cell lung cancer patients, although the difference is not statistically significant.

SourceEuropean Society for Medical Oncology·JournalJournal of Thoracic Oncology·DateApr 30, 2010

Radiotherapy can cause lasting vascular disease

New research from Karolinska Institutet found that radiotherapy can increase the risk of cardiovascular disease later in life due to sustained inflammation in arteries. The study suggests that post-radiotherapy changes in gene expression may be the cause of this increased risk, which can appear years after treatment.

SourceKarolinska Institutet·JournalJournal of the American College of Cardiology·DateMar 22, 2010

Proton beam therapy shows encouraging long-term outcome for patients with locally advanced sinonasal cancers

Proton beam radiation therapy has been shown to provide encouraging results for patients with locally advanced sinonasal malignancies, with high local control rates at five and eight years after treatment. The study found no significant difference in local control rates based on histological subtype, T stage, or prior surgery.

Split-course palliative radiotherapy confirmed as effective treatment for advanced NSCLC

Research found that split-course palliative radiotherapy reduced patients' symptoms by 52-84% and provided long-lasting relief in 58% of cases. Cancer survival rates were not adversely affected by a two-week break in treatment, demonstrating the regimen's potential as an optimal option for symptom management.

SourceInternational Association for the Study of Lung Cancer·JournalJournal of Thoracic Oncology·DateFeb 16, 2010

Research validates surgery alone offers reasonable overall survival for stage I SCLC

Research published in Journal of Thoracic Oncology investigates the effectiveness of surgery as a standalone treatment for stage I small cell lung cancer. The study found three- and five-year survival rates of 58.1% and 50.3%, respectively, for patients who underwent lobectomies without radiotherapy.

SourceInternational Association for the Study of Lung Cancer·JournalJournal of Thoracic Oncology·DateFeb 16, 2010

Short-term radiation therapy successful on breast cancer

A three-week course of accelerated hypofractionated whole-breast irradiation has been shown to be as safe and effective as the standard five-week regimen for women with early-stage breast cancer. The study, led by Dr. Tim Whelan, found that patients treated with this accelerated therapy had a low risk of side effects and recurrence of ...

SourceMcMaster University·JournalNew England Journal of Medicine·DateFeb 10, 2010

A lower overall radiotherapy dose given in fewer, larger daily doses can result in better quality of life for patients with breast cancer

A study published in The Lancet Oncology found that hypofractionated radiotherapy schedules do not increase adverse symptoms or worsen body image compared to the international standard treatment. Patients reported moderate or striking concerns about body image, but these did not differ between radiotherapy schedules.

SourceThe Lancet_DELETED·JournalThe Lancet Oncology·DateFeb 7, 2010

Does race, income predict prostate cancer outcome?

A new study by Henry Ford Hospital found that a patient's socioeconomic status has no effect on their outcome following curative radiation therapy for prostate cancer. The study analyzed data from 788 patients and found that all patients, regardless of race or income, had similar survival rates and biochemical control rates.