4.4 Review

Low radiation dose to treat pneumonia and other inflammations

Journal

BRITISH JOURNAL OF RADIOLOGY
Volume 94, Issue 1124, Pages -

Publisher

BRITISH INST RADIOLOGY
DOI: 10.1259/bjr.20201265

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Infection can cause reactive inflammation with distinct types of inflammation occurring in response to tumors, allergies, and autoimmune disorders. COVID-19 virus can lead to serious complications such as pneumonia, respiratory tract infections, and septic shock. Radiation therapy is not only used to control malignant tumors, but also for treating non-malignant diseases like inflammation in situations where anti-inflammatory drugs may not work.
Infection, the invasion of pathogenic microorganisms and viruses, causes reactive inflammation mediated by endogenous signals, with influx of leucocytes with distinct properties and capable of mounting a cellular or antibody response. Different forms of inflammation may also occur in response to tumours, in allergy and autoimmune disorders. Pneumonia, respiratory tract infection and septic shock for instance can arise as serious complications of the Covid-19 virus. While radiotherapy has been most widely used to control malignant tumours, it has also been used for treatment of non-malignant diseases, including acute and chronic inflammation in situations where anti-inflammatory drugs may be ineffective or contraindicated. The present review examines the history and prospects for low-dose anti-inflammatory radiation treatments, the present interest largely being motivated by the increased incidence of pulmonary disease associated Covid-19 infections. Evidence in support of the suggested efficacy are covered, together with an appraisal of one of the number of potential convenient sources that could complement external beam arrangements.

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