Spanish patterns of care for 3D radiotherapy in non-small-cell lung cancer

International Journal of Radiation Oncology, Biology, Physics
F CasasAlbert Biete

Abstract

Curative radiotherapy for non-small-cell lung cancer is a difficult challenge, despite the use of conformal radiotherapy. Optimal three-dimensional delineation of treatment volumes is essential for improvement of local control and for limiting of tissue toxicity. A planning course on clinical practice of lung cancer was held in Barcelona. A questionnaire was given concerning (1) patient positioning, (2) planning-computed tomography scan, (3) accounting for tumor mobility, (4) investigative-procedure respiration-gated radiotherapy and breath-holding maneuvers, (5) generation of target volumes, (6) treatment planning, and (7) treatment delivery. This questionnaire was made to determine the Spanish application of European recommendations. On the negative side, 1 hospital did not use three-dimensional tools, less than 50% used immobilization devices, and 55.6% used computed tomography slices of greater than 5 mm. On the positive side, 70.4% did not use standard margins for gross target volume derived from a computed tomography scan, 92.6% agreed with the inclusion of Naruke anatomic criteria of 1 cm or more in gross target volume planning, and 75% used V20 to estimate the risk of pneumonitis. This study is the first validation of E...Continue Reading

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Citations

Aug 1, 2008·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·Amalia Palacios EitoManuel de Las Heras
May 14, 2010·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·J A GonzálezUNKNOWN Oncological Group for Study of Lung Cancer/Spanish Society of Radiation Oncology
Mar 30, 2010·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Jianghong XiaoPing Li
Sep 17, 2008·International Journal of Radiation Oncology, Biology, Physics·José S A BelderbosBranislav Jeremic
May 29, 2007·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Yuta ShibamotoNatsuo Tomita
Feb 3, 2007·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Lucyna KepkaUNKNOWN International Atomic Energy Agency (IAEA)
Feb 14, 2012·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Yolande Lievens, Cai Grau
Nov 17, 2010·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Dirk De RuysscherSuresh Senan

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