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Stereotactic radiotherapy| Volume 93, ISSUE 1, P122-124, October 2009

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Rapid delivery of stereotactic radiotherapy for peripheral lung tumors using volumetric intensity-modulated arcs

      Abstract

      The delivery of high dose conventional stereotactic body radiotherapy (SBRT) for patients with stage I lung tumors generally takes 30–45 min per fraction. The novel volumetric intensity-modulated arc therapy (RA) for planning and delivery enabled much faster treatment for three patients with different fractionation schemes. This reduces the risk of intrafraction motion and is more patient friendly. In addition, in comparison to the conventional plans using 10 static non-coplanar fields, RA plans achieved superior dose conformity around the PTV and reduced chest wall doses.

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      References

        • Lagerwaard F.J.
        • Haasbeek C.J.
        • Smit E.F.
        • et al.
        Outcomes of risk-adapted fractionated stereotactic radiotherapy for stage I non-small-cell lung cancer.
        Int J Radiat Oncol Biol Phys. 2008; 70: 685-692
        • Purdie T.G.
        • Bissonnette J.P.
        • Franks K.
        • et al.
        Cone-beam computed tomography for on-line image guidance of lung stereotactic radiotherapy: localization, verification, and intrafraction tumor position.
        Int J Radiat Oncol Biol Phys. 2007; 68: 243-252
        • Otto K.
        Volumetric modulated arc therapy: IMRT in a single gantry arc.
        Med Phys. 2008; 35: 310-317
        • Verbakel W.F.A.R.
        • Cuijpers J.P.
        • Hoffmans D.
        • et al.
        Volumetric intensity modulated arc therapy versus conventional IMRT in head and neck cancer: a comparative planning and dosimetric study.
        Int J Radiat Oncol Biol Phys. 2009; 74: 252-259
        • Lagerwaard F.J.
        • Meijer O.W.N.
        • van der Hoorn E.A.P.
        • et al.
        Volumetric modulated arc radiotherapy for vestibular schwannomas.
        Int J Radiat Oncol Biol Phys. 2009; 74: 610-616
        • Kjaer-Kristoffersen F.
        • Ohlhues L.
        • Medin J.
        • et al.
        RapidArc volumetric modulated therapy planning for prostate cancer patients.
        Acta Oncol. 2009; 48: 227-232
        • Verbakel W.F.A.R.
        • Senan S.
        • Lagerwaard F.
        • et al.
        Dosimetric validation of RapidArc treatment plans for 5 treatment sites.
        Med Phys. 2008; 35: 2967
        • Clivio A.
        • Fogliata A.
        • Franzetti-Pellanda A.
        • et al.
        Volumetric-modulated arc radiotherapy for carcinomas of the anal canal: A treatment planning comparison with fixed field IMRT.
        Radiother Oncol. 2009; 92: 118-124
        • Underberg R.W.
        • Lagerwaard F.J.
        • Cuijpers J.P.
        • et al.
        Four-dimensional CT scans for treatment planning in stereotactic radiotherapy for stage I lung cancer.
        Int J Radiat Oncol Biol Phys. 2004; 60: 1283-1290
        • Hurkmans C.W.
        • Cuijpers J.P.
        • Lagerwaard F.J.
        • et al.
        Recommendations for implementing stereotactic radiotherapy in peripheral stage IA non-small cell lung cancer: report from the Quality Assurance Working Party of the randomised phase III ROSEL study.
        Radiat Oncol. 2009; 4: 1
        • Pettersson N.
        • Nyman J.
        • Johansson K.-A.
        Radiation-induced rib fractures after hypofractionated stereotactic body radiation therapy of non-small cell lung cancer: a dose- and volume-response analysis.
        Radiother Oncol. 2009; 91: 360-368
        • van Battum L.J.
        • Hoffmans D.
        • Piersma H.
        • et al.
        Accurate dosimetry with GafChromic EBT film of a 6 MV photon beam in water: what level is achievable?.
        Med Phys. 2008; 35: 704-716
        • Hoppe B.S.
        • Laser B.
        • Kowalski A.V.
        • et al.
        Acute skin toxicity following stereotactic body radiation therapy for stage I non-small-cell lung cancer: who’s at risk?.
        Int J Radiat Oncol Biol Phys. 2008; 72: 1283-1286