Pulmonary interstitial lymphography: A prospective trial with potential impact on stereotactic ablative radiotherapy planning for early-stage lung cancer

•Pulmonary interstitial lymphography is feasible to identify primary nodal drainage.•Contrast was visualized in all patients; drainage frequently involved N1/N2 nodes.•Exploratory primary nodal drainage-inclusive SABR plans met RTOG 0813 constraints. This prospective feasibility trial investigated p...

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Veröffentlicht in:Radiotherapy and oncology 2024-02, Vol.191, p.110079, Article 110079
Hauptverfasser: Ko, Ryan B., Abelson, Jonathan A., Fleischmann, Dominik, Louie, John D., Hwang, Gloria L., Sze, Daniel Y., Schüler, Emil, Kielar, Kayla N., Maxim, Peter G., Le, Quynh-Thu, Hara, Wendy H., Diehn, Maximilian, Kothary, Nishita, Loo, Billy W.
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container_end_page
container_issue
container_start_page 110079
container_title Radiotherapy and oncology
container_volume 191
creator Ko, Ryan B.
Abelson, Jonathan A.
Fleischmann, Dominik
Louie, John D.
Hwang, Gloria L.
Sze, Daniel Y.
Schüler, Emil
Kielar, Kayla N.
Maxim, Peter G.
Le, Quynh-Thu
Hara, Wendy H.
Diehn, Maximilian
Kothary, Nishita
Loo, Billy W.
description •Pulmonary interstitial lymphography is feasible to identify primary nodal drainage.•Contrast was visualized in all patients; drainage frequently involved N1/N2 nodes.•Exploratory primary nodal drainage-inclusive SABR plans met RTOG 0813 constraints. This prospective feasibility trial investigated pulmonary interstitial lymphography to identify thoracic primary nodal drainage (PND). A post-hoc analysis of nodal recurrences was compared with PND for patients with early-stage lung cancer; larger studies are needed to establish correlation. Exploratory PND-inclusive stereotactic ablative radiotherapy plans were assessed for dosimetric feasibility.
doi_str_mv 10.1016/j.radonc.2023.110079
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1879-0887
1879-0887
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source Elsevier ScienceDirect Journals
subjects Lung cancer
Lymphography
Primary nodal drainage
Regional recurrence
Sentinel lymph node
Stereotactic ablative radiotherapy
Stereotactic body radiation therapy
title Pulmonary interstitial lymphography: A prospective trial with potential impact on stereotactic ablative radiotherapy planning for early-stage lung cancer
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