Clinical outcomes of single‐fraction stereotactic radiation therapy of lung tumors

BACKGROUND The objective of the current study was to investigate the effects and the morbidities of single‐fraction stereotactic radiation therapy (SRT) for lung tumors. METHODS A Microtron device was modified to deliver stereotactic irradiation under respiratory gating. Between August 1998 and Dece...

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Veröffentlicht in:Cancer 2006-03, Vol.106 (6), p.1347-1352
Hauptverfasser: Hara, Ryusuke, Itami, Jun, Kondo, Tatsuya, Aruga, Takashi, Uno, Takashi, Sasano, Nakashi, Ohnishi, Kayoko, Kiyozuka, Makoto, Fuse, Masashi, Ito, Masashi, Naoi, Kuniji, Kohno, Yuzuru
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container_end_page 1352
container_issue 6
container_start_page 1347
container_title Cancer
container_volume 106
creator Hara, Ryusuke
Itami, Jun
Kondo, Tatsuya
Aruga, Takashi
Uno, Takashi
Sasano, Nakashi
Ohnishi, Kayoko
Kiyozuka, Makoto
Fuse, Masashi
Ito, Masashi
Naoi, Kuniji
Kohno, Yuzuru
description BACKGROUND The objective of the current study was to investigate the effects and the morbidities of single‐fraction stereotactic radiation therapy (SRT) for lung tumors. METHODS A Microtron device was modified to deliver stereotactic irradiation under respiratory gating. Between August 1998 and December 2004, 59 malignant lung tumors (11 primary tumors, 48 metastases) that measured < 40 mm in greatest dimension were treated by single‐fraction SRT. Nine tumors received a minimal dose of < 30 grays (Gy), and 50 tumors received a minimal dose of ≥ 30 Gy. The macroscopic target volume ranged from 1 cc to 19 cc (mean, 5 cc). RESULTS The 1‐year and 2‐year local progression‐free rates (LPFRs) were 93% and 78%, respectively. The overall survival rate was 76.5% at 1 year and 41% at 2 years. Local regrowth of the irradiated tumor was a direct cause of death in two patients. Only the minimal radiation dose to the reference target volume tended to have an influence on the LPFR (P = 0.068). The 2‐year LPFRs for patients who received irradiation doses of ≥ 30 Gy and < 30 Gy were 83% and 52%, respectively. With regard to morbidities, Grade 3 respiratory symptoms (according to the Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer late radiation morbidity scoring scheme) were noted in one patient. CONCLUSIONS The results from the current study suggested that single‐fraction SRT was tolerable and was capable of attaining excellent local control in patients who had malignant lung tumors that measured < 4 cm in greatest dimension. Cancer 2006. © 2006 American Cancer Society. The authors investigated the effects and morbidities of single‐fraction stereotactic radiation therapy (SRT) for lung tumors. The results suggested that single‐fraction SRT was tolerable and was capable of attaining excellent local control in patients who had malignant lung tumors smaller than 4 cm in greatest dimension.
doi_str_mv 10.1002/cncr.21747
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METHODS A Microtron device was modified to deliver stereotactic irradiation under respiratory gating. Between August 1998 and December 2004, 59 malignant lung tumors (11 primary tumors, 48 metastases) that measured &lt; 40 mm in greatest dimension were treated by single‐fraction SRT. Nine tumors received a minimal dose of &lt; 30 grays (Gy), and 50 tumors received a minimal dose of ≥ 30 Gy. The macroscopic target volume ranged from 1 cc to 19 cc (mean, 5 cc). RESULTS The 1‐year and 2‐year local progression‐free rates (LPFRs) were 93% and 78%, respectively. The overall survival rate was 76.5% at 1 year and 41% at 2 years. Local regrowth of the irradiated tumor was a direct cause of death in two patients. Only the minimal radiation dose to the reference target volume tended to have an influence on the LPFR (P = 0.068). The 2‐year LPFRs for patients who received irradiation doses of ≥ 30 Gy and &lt; 30 Gy were 83% and 52%, respectively. With regard to morbidities, Grade 3 respiratory symptoms (according to the Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer late radiation morbidity scoring scheme) were noted in one patient. CONCLUSIONS The results from the current study suggested that single‐fraction SRT was tolerable and was capable of attaining excellent local control in patients who had malignant lung tumors that measured &lt; 4 cm in greatest dimension. Cancer 2006. © 2006 American Cancer Society. The authors investigated the effects and morbidities of single‐fraction stereotactic radiation therapy (SRT) for lung tumors. 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With regard to morbidities, Grade 3 respiratory symptoms (according to the Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer late radiation morbidity scoring scheme) were noted in one patient. CONCLUSIONS The results from the current study suggested that single‐fraction SRT was tolerable and was capable of attaining excellent local control in patients who had malignant lung tumors that measured &lt; 4 cm in greatest dimension. Cancer 2006. © 2006 American Cancer Society. The authors investigated the effects and morbidities of single‐fraction stereotactic radiation therapy (SRT) for lung tumors. 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METHODS A Microtron device was modified to deliver stereotactic irradiation under respiratory gating. Between August 1998 and December 2004, 59 malignant lung tumors (11 primary tumors, 48 metastases) that measured &lt; 40 mm in greatest dimension were treated by single‐fraction SRT. Nine tumors received a minimal dose of &lt; 30 grays (Gy), and 50 tumors received a minimal dose of ≥ 30 Gy. The macroscopic target volume ranged from 1 cc to 19 cc (mean, 5 cc). RESULTS The 1‐year and 2‐year local progression‐free rates (LPFRs) were 93% and 78%, respectively. The overall survival rate was 76.5% at 1 year and 41% at 2 years. Local regrowth of the irradiated tumor was a direct cause of death in two patients. Only the minimal radiation dose to the reference target volume tended to have an influence on the LPFR (P = 0.068). The 2‐year LPFRs for patients who received irradiation doses of ≥ 30 Gy and &lt; 30 Gy were 83% and 52%, respectively. With regard to morbidities, Grade 3 respiratory symptoms (according to the Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer late radiation morbidity scoring scheme) were noted in one patient. CONCLUSIONS The results from the current study suggested that single‐fraction SRT was tolerable and was capable of attaining excellent local control in patients who had malignant lung tumors that measured &lt; 4 cm in greatest dimension. Cancer 2006. © 2006 American Cancer Society. The authors investigated the effects and morbidities of single‐fraction stereotactic radiation therapy (SRT) for lung tumors. The results suggested that single‐fraction SRT was tolerable and was capable of attaining excellent local control in patients who had malignant lung tumors smaller than 4 cm in greatest dimension.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>16475150</pmid><doi>10.1002/cncr.21747</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenocarcinoma - radiotherapy
Adenocarcinoma - secondary
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Carcinoma, Hepatocellular - radiotherapy
Carcinoma, Hepatocellular - secondary
Carcinoma, Squamous Cell - radiotherapy
Carcinoma, Squamous Cell - secondary
Dose Fractionation
Dose-Response Relationship, Radiation
Female
Humans
Lung Neoplasms - pathology
Lung Neoplasms - radiotherapy
lung tumor
Male
Maximum Tolerated Dose
Medical sciences
Middle Aged
Neoplasm Staging
Pneumology
respiratory gating
single fraction
stereotactic radiation therapy
Stereotaxic Techniques
Survival Rate
Tomography, X-Ray Computed
Treatment Outcome
Tumors
Tumors of the respiratory system and mediastinum
title Clinical outcomes of single‐fraction stereotactic radiation therapy of lung tumors
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