Genetic testing guides personalized radiation patients with HPV-positive throat cancer
Genetic testing can identify patients with HPV-positive throat cancer who may benefit from lower radiation doses, according to Cleveland Clinic research. The study, published in the Journal of Clinical Investigation, builds on a growing body of evidence that radiation treatment can be personalized using tumor genomics , potentially shifting treatment approaches from the norm, where radiation is prescribed at a uniform dose, to one called Genomic Adjusted Radiation Dose (GARD), where radiation is prescribed to a desired effect. The current standard radiation dose for HPV-positive throat cancer is 70 Grays (Gy), which offers cure rates between 80% and 95% but can cause long lasting side effects like problems with swallowing and breathing. So far, attempts to lower radiation doses (for example, to 60Gy) have failed in clinical trials. have been no proven strategies for de-escalating the dose, They turned to the genomic-adjusted radiation dose (GARD) model, which Dr. Scott had develo...