Early-stage central lung cancer and volumetric modulated arc therapy: a dosimetric case study with literature review.

Abstract:

BACKGROUND/AIM:In the present article we review on the use of Volumetric Modulated Arc Therapy (VMAT) for a small lung nodule that was centrally located in close proximity to the mediastinal structures. CASE REPORT:An inoperable patient with central, clinical stage IA adenocarcinoma of the right lung was treated with external-beam radiation therapy of 52.5 Gy in 15 factions. A single 360° coplanar arc VMAT plan (360-VMAT) was used for treatment and compared to step-and-shoot Intensity Modulation Radiotherapy (IMRT) and a single 180° ipsilateral partial arc VMAT plan (180-VMAT). RESULTS:Planning Target Volume (PTV) coverage was not different, and 360-VMAT had the highest dose homogeneity. Both 360-VMAT and 180-VMAT reduced esophageal dose compared to IMRT. While IMRT had the lowest lung dose, all 3 plans achieved acceptable sparing of the lung. 180-VMAT had the highest dose conformity. Both 360-VMAT and 180-VMAT improved esophageal sparing compared to IMRT. CONCLUSION:Use of VMAT in early-stage, centrally located NSCLC is a promising treatment approach and merits additional investigation.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Valakh V,Chan P,D'Adamo K,Micaily B

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

4491-5

issue

10

eissn

0250-7005

issn

1791-7530

pii

33/10/4491

journal_volume

33

pub_type

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