医学
肺癌
放射治疗
轮廓
放射治疗计划
放射科
放射外科
肺
阶段(地层学)
医学物理学
肿瘤科
内科学
计算机科学
古生物学
计算机图形学(图像)
生物
作者
Emese Csiki,Mihály Simon,Judit Papp,Márton Barabás,Johanna Mikáczó,Krisztina Gál,Dávid Sipos,Árṕad Kov́acs
出处
期刊:Pathology & Oncology Research
[Frontiers Media SA]
日期:2024-02-27
卷期号:30
标识
DOI:10.3389/pore.2024.1611709
摘要
The treatment of early stage non-small cell lung cancer (NSCLC) has improved enormously in the last two decades. Although surgery is not the only choice, lobectomy is still the gold standard treatment type for operable patients. For inoperable patients stereotactic body radiotherapy (SBRT) should be offered, reaching very high local control and overall survival rates. With SBRT we can precisely irradiate small, well-defined lesions with high doses. To select the appropriate fractionation schedule it is important to determine the size, localization and extent of the lung tumor. The introduction of novel and further developed planning (contouring guidelines, diagnostic image application, planning systems) and delivery techniques (motion management, image guided radiotherapy) led to lower rates of side effects and more conformal target volume coverage. The purpose of this study is to summarize the current developments, randomised studies, guidelines about lung SBRT, with emphasis on the possibility of increasing local control and overall rates in “fit,” operable patients as well, so SBRT would be eligible in place of surgery.
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