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Review
. 2014 Jul 17;19(6):353-60.
doi: 10.1016/j.rpor.2014.04.012. eCollection 2014 Nov.

Lung cancer. Radiotherapy in lung cancer: Actual methods and future trends

Affiliations
Review

Lung cancer. Radiotherapy in lung cancer: Actual methods and future trends

Adam Maciejczyk et al. Rep Pract Oncol Radiother. .

Abstract

This survey is performed to update knowledge about methods and trends in lung cancer radiotherapy. A significant development has been noticed in radiotherapeutic techniques, but also in the identification of clinical prognostic factors. The improvement in the therapeutic line includes: application of the four-dimensional computer tomography (4DCT), taking advantage of positron emission tomography (PET-CT), designing of new computational algorithms, allowing more precise irradiation planning, development of treatment precision verification systems and introducing IMRT techniques in chest radiotherapy. The treatment outcomes have improved with high dose radiotherapy, but other fractionation alternations have been investigated as well.

Keywords: Lung cancer; Radiotherapy; SBRT.

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Figures

Fig. 1
Fig. 1
DVH for a target located in the lung. Dose distribution obtained using two algorithms of PB and AAA, for the energy of: A/18 MeV, B/6 MeV.
Fig. 2
Fig. 2
Comparison of 3D and VMAT techniques, for the region covered by the dose of 10%.
Fig. 3
Fig. 3
The system of two dynamic arcs with dose distribution.
Fig. 4
Fig. 4
Normalization of dose for PTV 55 Gy in 80% isodose, which determines distribution in PET_GTV, 95% of the dose in 98% volume.

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