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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">oncotomsk</journal-id><journal-title-group><journal-title xml:lang="ru">Сибирский онкологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Siberian journal of oncology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1814-4861</issn><issn pub-type="epub">2312-3168</issn><publisher><publisher-name>Tomsk National Research Medical Сепtеr of the Russian Academy of Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21294/1814-4861-2020-19-1-119-125</article-id><article-id custom-type="elpub" pub-id-type="custom">oncotomsk-1331</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>СОВРЕМЕННЫЕ ПРЕДСТАВЛЕНИЯ О КОМБИНАЦИИ ЛУЧЕВОЙ ТЕРАПИИ С АНТИАНГИОГЕННЫМИ ПРЕПАРАТАМИ В ЛЕЧЕНИИ БОЛЬНЫХ С МЕТАСТАТИЧЕСКИМ ПОРАЖЕНИЕМ ГОЛОВНОГО МОЗГА</article-title><trans-title-group xml:lang="en"><trans-title>MODERN IDEAS ABOUT THE COMBINATION OF RADIATION THERAPY WITH ANTIANGIOGENIC DRUGS IN THE TREATMENT OF PATIENTS WITH BRAIN METASTASES</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3061-6108</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кит</surname><given-names>О. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kit</surname><given-names>O. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, член‑корреспондент РАН, генеральный директор </p><p>SPIN‑код: 1728‑0329. Researcher ID (WOS): U‑2241‑2017. Author ID (Scopus): 55994103100Россия, г. Ростов-на-Дону, 344037, ул. 14-я линия, 63</p></bio><bio xml:lang="en"><p>MD, Professor, Corresponding Member of the Russian Academy of Sciences, General Director </p><p>Researcher ID (WOS): U‑2241‑2017. Author ID (Scopus): 55994103100</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Геворкян</surname><given-names>Э. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Gevorkian</surname><given-names>E. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"/><bio xml:lang="en"><p>6th year student, Faculty of Medicine</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8511-7280</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сидоренко</surname><given-names>Ю. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Sidorenko</surname><given-names>Yu. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, академик РАН, заведующий отделом опухолей репродуктивной системы, </p><p>SPIN‑код: 8341‑5407. Author ID (Scopus): 6603967956Россия, г. Ростов-на-Дону, 344037, ул. 14-я линия, 63</p></bio><bio xml:lang="en"><p>MD, Professor, Full Member of the Russian Academy of Sciences, Head of the Department of Tumors of the Reproductive System </p><p>Author ID (Scopus): 6603967956</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1405-8329</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вошедский</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Voshedskiy</surname><given-names>V. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач‑радиотерапевт</p><p>Researcher ID (WOS): Q‑6122‑2019 Россия, г. Ростов-на-Дону, 344037, ул. 14-я линия, 63</p></bio><bio xml:lang="en"><p>MD, Radiologist</p><p>Researcher ID (WOS): Q‑6122‑2019</p><p> </p></bio><email xlink:type="simple">vvoshed@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дженкова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Genkova</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор биологических наук, доцент, учёный секретарь </p><p>SPIN‑код: 6206‑6222. Author ID (Scopus): 6507889745. Researcher ID (WOS): K‑9622‑2014 Россия, г. Ростов-на-Дону, 344037, ул. 14-я линия, 63</p></bio><bio xml:lang="en"><p>DSc, Associate Professor</p><p>Author ID (Scopus): 6507889745. Researcher ID (WOS): K‑9622‑2014</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шапошников</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shaposhnikov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, главный научный сотрудник торакоабдоминального отдела</p><p>SPIN‑код: 8756‑9438. Author ID (Scopus): 7005752070 Россия, г. Ростов-на-Дону, 344037, ул. 14-я линия, 63</p></bio><bio xml:lang="en"><p>MD, Professor, Leading Researcher, Thoracoabdominal Department, </p><p>Author ID (Scopus): 7005752070</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сакун</surname><given-names>П. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Sakun</surname><given-names>P. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук, врач‑радиотерапевт</p><p>SPIN‑код: 3790‑9852. AuthorID (РИНЦ): 734600. Author ID (Scopus): 56531945400 Россия, г. Ростов-на-Дону, 344037, ул. 14-я линия, 63</p></bio><bio xml:lang="en"><p>MD, PhD, Radiologist</p><p>Author ID (Scopus): 56531945400 </p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ФГБУ «Ростовский научно-исследовательский онкологический институт» Министерства здравоохранения Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Rostov Research Institute of Oncology, Ministry of Health of Russia<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский Университет)»<country>Россия</country></aff><aff xml:lang="en">I.M. Sechenov First Moscow State Medical University (Sechenov University)<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>02</day><month>03</month><year>2020</year></pub-date><volume>19</volume><issue>1</issue><fpage>119</fpage><lpage>125</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Кит О.И., Геворкян Э.Ю., Сидоренко Ю.С., Вошедский В.И., Дженкова Е.А., Шапошников А.В., Сакун П.Г., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Кит О.И., Геворкян Э.Ю., Сидоренко Ю.С., Вошедский В.И., Дженкова Е.А., Шапошников А.В., Сакун П.Г.</copyright-holder><copyright-holder xml:lang="en">Kit O.I., Gevorkian E.Y., Sidorenko Y.S., Voshedskiy V.I., Genkova E.A., Shaposhnikov A.V., Sakun P.G.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.siboncoj.ru/jour/article/view/1331">https://www.siboncoj.ru/jour/article/view/1331</self-uri><abstract><p>Цель исследования – обобщение имеющихся данных о комбинации лучевой терапии с антиангиогенными препаратами в лечении больных с метастатическим поражением головного мозга. </p><sec><title>Материал и методы</title><p>Материал и методы. Поиск литературы производился в системах Medline, Cochrane Library, Elibrary, PubMed, включались публикации, характеризующие современные возможности лучевой терапии и результаты ее применения для лечения больных с метастатическим поражением головного мозга как в самостоятельном  варианте, так и в комбинации с антиангиогенными препаратами. </p></sec><sec><title>Результаты</title><p>Результаты. В настоящее время существуют различные варианты комбинации лучевой терапии с антиангиогенными препаратами. Полученные результаты свидетельствуют о более высокой эффективности комбинированного применения радиотерапии и антиангиогенных препаратов для лечения больных с метастатическим поражением головного мозга по сравнению с лучевой терапией в самостоятельном варианте. </p></sec><sec><title>Заключение</title><p>Заключение. Лечение больных с метастатическим поражением головного мозга является чрезвычайно сложной задачей в современной клинической практике. Разнообразие возможных терапевтических подходов требует мультидисциплинарного подхода к данной проблеме.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Purpose of the study</title><p>Purpose of the study: to analyze available data on the combination of radiation therapy with antiangiogenic drugs in the treatment of patients with brain metastases. </p></sec><sec><title>Material and methods</title><p>Material and methods. The search for relevant sources was carried out using Medline, Cochrane Library, Elibrary, PubMed databases concerning publications describing the role of radiation therapy in the treatment of patients with brain metastases. results. To date, there are various options for the combination of radiation therapy with antiangiogenic drugs. </p><p>The results obtained indicate that radiotherapy combined with antiangiogenic drugs is more efficient in the treatment of patients with brain metastases than radiotherapy used alone. Conclusion. Treatment of patients with brain metastases remains extremely challenging and requires a multidisciplinary team approach. </p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>метастатическое поражение головного мозга</kwd><kwd>лучевая терапия</kwd><kwd>радиохирургия</kwd><kwd>бевацизумаб</kwd><kwd>комплексная терапия</kwd><kwd>антиангиогенные препараты</kwd></kwd-group><kwd-group xml:lang="en"><kwd>brain metastases</kwd><kwd>radiation therapy</kwd><kwd>radiosurgery</kwd><kwd>antiangiogenic drugs</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Голанов А.В., Банов С.M., Ветлова Е.P. Метастатическое поражение головного мозга: изменение парадигмы лучевого лечения. Вопросы онкологии. 2015; 61(4): 530–545.</mixed-citation><mixed-citation xml:lang="en">Golanov A.V., Banov S.M., Vetlova E.R. Metastatic brain lesion paradigm shift in radiation therapy. 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