Establishing a histology-specific biologically effective dose threshold for lung stereotactic ablative radiotherapy (SABR): Is ≥100 Gy


Journal

Lung cancer (Amsterdam, Netherlands)
ISSN: 1872-8332
Titre abrégé: Lung Cancer
Pays: Ireland
ID NLM: 8800805

Informations de publication

Date de publication:
09 2019
Historique:
received: 24 05 2019
revised: 15 07 2019
accepted: 16 07 2019
entrez: 27 8 2019
pubmed: 27 8 2019
medline: 14 7 2020
Statut: ppublish

Résumé

Squamous cell carcinoma (SCC) is associated with worse local control and overall survival (OS) compared to adenocarcinoma (ADC) in patients with early stage non-small cell lung cancer (ES-NSCLC). Biological effective dose (BED) escalation above 100 Gy We queried the National Cancer Database for ES-NSCLC (T1-2N0, Stage I-IIA) patients with SCC or ADC treated with stereotactic ablative radiotherapy (SABR). Receiver operator characteristic (ROC) curve analysis was used to identify the optimal dose threshold for SCC and ADC. Patients were stratified by histology and BED (≥122 Gy Ultimately 11,084 ES-NSCLC patients with either ADC (n = 6476) or SCC (n = 4608) were eligible for analysis. Calculated optimal BED threshold for both SCC and ADC was 122 Gy Escalation of BED ≥ 122 Gy

Identifiants

pubmed: 31446991
pii: S0169-5002(19)30556-2
doi: 10.1016/j.lungcan.2019.07.014
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

169-174

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Auteurs

Stephen Abel (S)

Allegheny Health Network Cancer Institute, Division of Radiation Oncology, Pittsburgh, PA, United States. Electronic address: Stephen.abel@ahn.org.

Shaakir Hasan (S)

Allegheny Health Network Cancer Institute, Division of Radiation Oncology, Pittsburgh, PA, United States.

Vivek Verma (V)

Allegheny Health Network Cancer Institute, Division of Radiation Oncology, Pittsburgh, PA, United States.

Benny Weksler (B)

Allegheny Health Network Esophageal and Lung Institute, Division of Thoracic Surgery, Pittsburgh, PA, United States.

Athanasios Colonias (A)

Allegheny Health Network Cancer Institute, Division of Radiation Oncology, Pittsburgh, PA, United States.

Zachary D Horne (ZD)

Allegheny Health Network Cancer Institute, Division of Radiation Oncology, Pittsburgh, PA, United States.

Rodney E Wegner (RE)

Allegheny Health Network Cancer Institute, Division of Radiation Oncology, Pittsburgh, PA, United States.

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