Local Control After Stereotactic Body Radiation Therapy for Stage I Non-Small Cell Lung Cancer.
Carcinoma, Non-Small-Cell Lung
/ diagnostic imaging
Cause of Death
Dose-Response Relationship, Radiation
Follow-Up Studies
Humans
Lung Neoplasms
/ diagnostic imaging
Models, Biological
Models, Theoretical
Neoplasm Recurrence, Local
/ diagnostic imaging
Probability
Radiosurgery
/ methods
Radiotherapy Planning, Computer-Assisted
Time Factors
Journal
International journal of radiation oncology, biology, physics
ISSN: 1879-355X
Titre abrégé: Int J Radiat Oncol Biol Phys
Pays: United States
ID NLM: 7603616
Informations de publication
Date de publication:
01 05 2021
01 05 2021
Historique:
received:
06
02
2019
revised:
06
02
2019
accepted:
27
03
2019
pubmed:
8
4
2019
medline:
5
8
2021
entrez:
8
4
2019
Statut:
ppublish
Résumé
Numerous dose and fractionation schedules have been used to treat medically inoperable stage I non-small cell lung cancer (NSCLC) with stereotactic body radiation therapy (SBRT) or stereotactic ablative radiation therapy. We evaluated published experiences with SBRT to determine local control (LC) rates as a function of SBRT dose. One hundred sixty published articles reporting LC rates after SBRT for stage I NSCLC were identified. Quality of the series was assessed by evaluating the number of patients in the study, homogeneity of the dose regimen, length of follow-up time, and reporting of LC. Clinical data including 1, 2, 3, and 5-year tumor control probabilities for stages T1, T2, and combined T1 and T2 as a function of the biological effective dose were fitted to the linear quadratic, universal survival curve, and regrowth models. Forty-six studies met inclusion criteria. As measured by the goodness of fit χ Early-stage NSCLC is radioresponsive when treated with SBRT or stereotactic ablative radiation therapy. A steep dose-response relationship exists with high rates of durable LC when physical doses of 43-50 Gy are delivered in 3 to 5 fractions.
Identifiants
pubmed: 30954520
pii: S0360-3016(19)30572-3
doi: 10.1016/j.ijrobp.2019.03.045
pmc: PMC9446070
mid: NIHMS1831946
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
160-171Subventions
Organisme : NCI NIH HHS
ID : P30 CA008748
Pays : United States
Commentaires et corrections
Type : CommentIn
Type : CommentIn
Type : CommentIn
Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.
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