Dosimetric comparison of CT-guided iodine-125 seed stereotactic brachytherapy and stereotactic body radiation therapy in the treatment of NSCLC

This study aimed to assess the dosimetric differences between iodine-125 seed stereotactic brachytherapy (SBT) and stereotactic body radiation therapy (SBRT) in the treatment of non-small cell lung cancer (NSCLC). An SBT plan and an SBRT plan were generated for eleven patients with T1-2 NSCLC. Presc...

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Veröffentlicht in:PloS one 2017-11, Vol.12 (11), p.e0187390-e0187390
Hauptverfasser: Li, Ranran, Zhang, Ying, Yuan, Yuan, Lin, Qi, Dai, Jianjian, Xu, Ruicai, Hu, Xudong, Han, Mingyong
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container_title PloS one
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creator Li, Ranran
Zhang, Ying
Yuan, Yuan
Lin, Qi
Dai, Jianjian
Xu, Ruicai
Hu, Xudong
Han, Mingyong
description This study aimed to assess the dosimetric differences between iodine-125 seed stereotactic brachytherapy (SBT) and stereotactic body radiation therapy (SBRT) in the treatment of non-small cell lung cancer (NSCLC). An SBT plan and an SBRT plan were generated for eleven patients with T1-2 NSCLC. Prescription of the dose and fractionation (fr) for SBRT was 48Gy/4fr. The planning aim for SBT was D90 (dose delivered to 90% of the target volume)≥120Gy. Student's paired t test was used to compare the dosimetric parameters. The SBT and SBRT plans had comparable PTV D90 (104.73±2.10Gyvs.107.64±2.29Gy), and similar mean volume receiving 100% of the prescription dose (V100%) (91.65% vs.92.44%, p = 0.410). The mean volume receiving 150% of the prescribed dose (V150%) for SBT was 64.71%, whereas it was 0% for SBRT. Mean heterogeneity index (HI) deviation for SBT vs. SBRT was 0.73 vs. 0.19 (p
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An SBT plan and an SBRT plan were generated for eleven patients with T1-2 NSCLC. Prescription of the dose and fractionation (fr) for SBRT was 48Gy/4fr. The planning aim for SBT was D90 (dose delivered to 90% of the target volume)≥120Gy. Student's paired t test was used to compare the dosimetric parameters. The SBT and SBRT plans had comparable PTV D90 (104.73±2.10Gyvs.107.64±2.29Gy), and similar mean volume receiving 100% of the prescription dose (V100%) (91.65% vs.92.44%, p = 0.410). The mean volume receiving 150% of the prescribed dose (V150%) for SBT was 64.71%, whereas it was 0% for SBRT. Mean heterogeneity index (HI) deviation for SBT vs. SBRT was 0.73 vs. 0.19 (p&lt;0.0001), and the mean conformity index (CI) for SBT vs. SBRT was 0.77 vs. 0.81 (p = 0.031). The mean lung doses (MLD) in SBT were significantly lower than those in SBRT (1.952±0.713 vs. 5.618±2.009, p&lt;0.0001). In conclusion, compared with SBRT, SBT can generate a comparable dose within PTV, while the organs at risk (OARs) only receive a very low dose. But the HI and CI in SBT were lower than in SBRT.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0187390</identifier><identifier>PMID: 29121047</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aged ; Biology and Life Sciences ; Brachytherapy ; Cancer therapies ; Carcinoma, Non-Small-Cell Lung - diagnostic imaging ; Carcinoma, Non-Small-Cell Lung - radiotherapy ; Care and treatment ; Comparative analysis ; Dosage and administration ; Dose-Response Relationship, Radiation ; Dosimetry ; Esophagus ; Female ; Fractionation ; Health aspects ; Heart ; Humans ; Iodine ; Iodine Radioisotopes - chemistry ; Lung cancer ; Lung diseases ; Lung Neoplasms - diagnostic imaging ; Lung Neoplasms - radiotherapy ; Male ; Medicine and Health Sciences ; Middle Aged ; Non-small cell lung cancer ; Non-small cell lung carcinoma ; Oncology ; Organs ; Organs at Risk ; Patient outcomes ; Patients ; Planning ; Radiation ; Radiation therapy ; Radiosurgery ; Radiotherapy ; Radiotherapy Dosage ; Radiotherapy Planning, Computer-Assisted ; Research and Analysis Methods ; Seeds ; Spinal cord ; Studies ; Tomography, X-Ray Computed</subject><ispartof>PloS one, 2017-11, Vol.12 (11), p.e0187390-e0187390</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Li et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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An SBT plan and an SBRT plan were generated for eleven patients with T1-2 NSCLC. Prescription of the dose and fractionation (fr) for SBRT was 48Gy/4fr. The planning aim for SBT was D90 (dose delivered to 90% of the target volume)≥120Gy. Student's paired t test was used to compare the dosimetric parameters. The SBT and SBRT plans had comparable PTV D90 (104.73±2.10Gyvs.107.64±2.29Gy), and similar mean volume receiving 100% of the prescription dose (V100%) (91.65% vs.92.44%, p = 0.410). The mean volume receiving 150% of the prescribed dose (V150%) for SBT was 64.71%, whereas it was 0% for SBRT. Mean heterogeneity index (HI) deviation for SBT vs. SBRT was 0.73 vs. 0.19 (p&lt;0.0001), and the mean conformity index (CI) for SBT vs. SBRT was 0.77 vs. 0.81 (p = 0.031). The mean lung doses (MLD) in SBT were significantly lower than those in SBRT (1.952±0.713 vs. 5.618±2.009, p&lt;0.0001). In conclusion, compared with SBRT, SBT can generate a comparable dose within PTV, while the organs at risk (OARs) only receive a very low dose. But the HI and CI in SBT were lower than in SBRT.</description><subject>Aged</subject><subject>Biology and Life Sciences</subject><subject>Brachytherapy</subject><subject>Cancer therapies</subject><subject>Carcinoma, Non-Small-Cell Lung - diagnostic imaging</subject><subject>Carcinoma, Non-Small-Cell Lung - radiotherapy</subject><subject>Care and treatment</subject><subject>Comparative analysis</subject><subject>Dosage and administration</subject><subject>Dose-Response Relationship, Radiation</subject><subject>Dosimetry</subject><subject>Esophagus</subject><subject>Female</subject><subject>Fractionation</subject><subject>Health aspects</subject><subject>Heart</subject><subject>Humans</subject><subject>Iodine</subject><subject>Iodine Radioisotopes - chemistry</subject><subject>Lung cancer</subject><subject>Lung diseases</subject><subject>Lung Neoplasms - diagnostic imaging</subject><subject>Lung Neoplasms - radiotherapy</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Non-small cell lung cancer</subject><subject>Non-small cell lung carcinoma</subject><subject>Oncology</subject><subject>Organs</subject><subject>Organs at Risk</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Planning</subject><subject>Radiation</subject><subject>Radiation therapy</subject><subject>Radiosurgery</subject><subject>Radiotherapy</subject><subject>Radiotherapy Dosage</subject><subject>Radiotherapy Planning, Computer-Assisted</subject><subject>Research and Analysis Methods</subject><subject>Seeds</subject><subject>Spinal cord</subject><subject>Studies</subject><subject>Tomography, X-Ray 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comparison of CT-guided iodine-125 seed stereotactic brachytherapy and stereotactic body radiation therapy in the treatment of NSCLC</title><author>Li, Ranran ; Zhang, Ying ; Yuan, Yuan ; Lin, Qi ; Dai, Jianjian ; Xu, Ruicai ; Hu, Xudong ; Han, Mingyong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-70a660961035fba4d6cb3761ec5d7b315d257b745c26cd8f691e28b2418cb5093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Biology and Life Sciences</topic><topic>Brachytherapy</topic><topic>Cancer therapies</topic><topic>Carcinoma, Non-Small-Cell Lung - diagnostic imaging</topic><topic>Carcinoma, Non-Small-Cell Lung - radiotherapy</topic><topic>Care and treatment</topic><topic>Comparative analysis</topic><topic>Dosage and administration</topic><topic>Dose-Response Relationship, 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One</addtitle><date>2017-11-09</date><risdate>2017</risdate><volume>12</volume><issue>11</issue><spage>e0187390</spage><epage>e0187390</epage><pages>e0187390-e0187390</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>This study aimed to assess the dosimetric differences between iodine-125 seed stereotactic brachytherapy (SBT) and stereotactic body radiation therapy (SBRT) in the treatment of non-small cell lung cancer (NSCLC). An SBT plan and an SBRT plan were generated for eleven patients with T1-2 NSCLC. Prescription of the dose and fractionation (fr) for SBRT was 48Gy/4fr. The planning aim for SBT was D90 (dose delivered to 90% of the target volume)≥120Gy. Student's paired t test was used to compare the dosimetric parameters. The SBT and SBRT plans had comparable PTV D90 (104.73±2.10Gyvs.107.64±2.29Gy), and similar mean volume receiving 100% of the prescription dose (V100%) (91.65% vs.92.44%, p = 0.410). The mean volume receiving 150% of the prescribed dose (V150%) for SBT was 64.71%, whereas it was 0% for SBRT. Mean heterogeneity index (HI) deviation for SBT vs. SBRT was 0.73 vs. 0.19 (p&lt;0.0001), and the mean conformity index (CI) for SBT vs. SBRT was 0.77 vs. 0.81 (p = 0.031). The mean lung doses (MLD) in SBT were significantly lower than those in SBRT (1.952±0.713 vs. 5.618±2.009, p&lt;0.0001). In conclusion, compared with SBRT, SBT can generate a comparable dose within PTV, while the organs at risk (OARs) only receive a very low dose. But the HI and CI in SBT were lower than in SBRT.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29121047</pmid><doi>10.1371/journal.pone.0187390</doi><tpages>e0187390</tpages><orcidid>https://orcid.org/0000-0001-6563-2082</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
Biology and Life Sciences
Brachytherapy
Cancer therapies
Carcinoma, Non-Small-Cell Lung - diagnostic imaging
Carcinoma, Non-Small-Cell Lung - radiotherapy
Care and treatment
Comparative analysis
Dosage and administration
Dose-Response Relationship, Radiation
Dosimetry
Esophagus
Female
Fractionation
Health aspects
Heart
Humans
Iodine
Iodine Radioisotopes - chemistry
Lung cancer
Lung diseases
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - radiotherapy
Male
Medicine and Health Sciences
Middle Aged
Non-small cell lung cancer
Non-small cell lung carcinoma
Oncology
Organs
Organs at Risk
Patient outcomes
Patients
Planning
Radiation
Radiation therapy
Radiosurgery
Radiotherapy
Radiotherapy Dosage
Radiotherapy Planning, Computer-Assisted
Research and Analysis Methods
Seeds
Spinal cord
Studies
Tomography, X-Ray Computed
title Dosimetric comparison of CT-guided iodine-125 seed stereotactic brachytherapy and stereotactic body radiation therapy in the treatment of NSCLC
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