Lung stereotactic body radiation therapy using simultaneous integrated BED-escalation for peripherally located non-small cell lung cancer.

IF 0.7 Q4 SURGERY Journal of radiosurgery and SBRT Pub Date : 2022-01-01
Colton J Ladbury, Sagus Sampath
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Abstract

Purpose: Report the outcomes of patients with non-small cell lung cancer (NSCLC) and peripheral tumors treated with simultaneous integrated biologically equivalent dose (BED)-escalation (SIBE) lung stereotactic body radiation therapy (SBRT) to achieve dose escalation.

Materials/methods: Patients with NSCLC within 5 mm of the chest wall treated with a SIBE approach were eligible. Patients received 60 Gy in 5 fractions, with dose decreased to 50 Gy based on proximity to the chest wall. Dosimetry, oncologic outcomes, and toxicity were evaluated.

Results: Twenty-four patients met inclusion criteria. Median BED to the PTV was 135.4 Gy. Median chest wall V30 was 18.7 cc. The 3-year LC, OS, and PFS of the non-metastatic cohort was 93%, 35%, and 39%, respectively. The crude rate of chest wall toxicity was 12.5%, with no rib fractures.

Conclusions: SIBE lung SBRT appears to be well tolerated and achieves favorable local control rates and survival.

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肺立体定向放射治疗外周非小细胞肺癌的同时综合bed升级。
目的:报道非小细胞肺癌(NSCLC)和周围肿瘤患者同时采用生物等效剂量(BED)递增(SIBE)肺立体定向体放射治疗(SBRT)实现剂量递增的结果。材料/方法:接受SIBE入路治疗的胸壁5mm以内的NSCLC患者符合条件。患者接受5次60 Gy的剂量,剂量根据胸壁的接近程度减少到50 Gy。对剂量学、肿瘤学结果和毒性进行了评估。结果:24例患者符合纳入标准。中位BED到PTV为135.4 Gy。中位胸壁V30为18.7 cc。非转移性队列的3年LC、OS和PFS分别为93%、35%和39%。胸壁毒性粗发生率为12.5%,无肋骨骨折。结论:SIBE肺SBRT耐受性良好,获得了良好的局部控制率和生存率。
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