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Steat of the a tr : Con Ci Se r eview Intensity-Modulated Radiotherapy for Lung Cancer: Current Status and Future Developments Clara Chan, MD,* Stephanie Lang, MSc,‡ Carl Rowbottom, PhD,*† Matthias Guckenberger, MD,‡ and Corinne Faivre-Finn, MD, PhD,* On behalf of the IASLC Advanced Radiation Technology Committee progression-free survival and overall survival (OS) rates in Abstract: Radiotherapy plays an important role in the management locally advanced NSCLC remain low (30% and 10–15% at 5 of lung cancer, with over 50% of patients receiving this modality at 1,2,4 years, respectively). some point during their treatment. Intensity-modulated radiotherapy Currently, the standard dose/fractionation for patients (IMRT) is a technique that adds fluence modulation to beam shap- with stage III NSCLC is 60 Gy equivalent dose in 2 Gy/frac- ing, which improves radiotherapy dose conformity around the tumor tion (EQD2). One potential reason for low progression-free and spares surrounding normal structures. Treatment with IMRT is survival and OS rates in this group may be that this radiother- becoming more widely available for the treatment of lung cancer, apy dose is perhaps too low to achieve local control. Martel despite the paucity of high level evidence supporting the routine use et al. estimated that doses of 84 Gy in EQD2 are required
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Nov 1, 2014
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