The Dosimetric Comparisons of CRT, IMRT, ARC, CRT+IMRT, and CRT+ARC of Postoperative Radiotherapy in IIIA-N2 Stage Non-Small-Cell Lung Cancer Patients

Currently, studies about PORT in stage IIIA-N2 NSCLC patients in recent years have mostly adopted the conformal radiation therapy (CRT) technique, while other modern techniques such as intensity modulated radiation therapy (IMRT), volumetric modulated arc therapy (VMAT, hereinafter referred to as AR...

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Veröffentlicht in:BioMed research international 2019, Vol.2019 (2019), p.1-16
Hauptverfasser: Xu, Shufeng, Fu, Zhanzhao, Han, A’meng, Zhang, Yanqiu, Zhang, Zijian
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Fu, Zhanzhao
Han, A’meng
Zhang, Yanqiu
Zhang, Zijian
description Currently, studies about PORT in stage IIIA-N2 NSCLC patients in recent years have mostly adopted the conformal radiation therapy (CRT) technique, while other modern techniques such as intensity modulated radiation therapy (IMRT), volumetric modulated arc therapy (VMAT, hereinafter referred to as ARC), helical tomotherapy (HT), and so forth are also developing quickly. In this paper, we intended to compare the dosimetric characteristics of CRT, IMRT, ARC, CRT+IMRT, and CRT+ARC of PORT in stage IIIA-N2 NSCLC patients. Ten patients with stage IIIA-N2 completely resected NSCLC, whom were treated by PORT in the radiotherapy department of our hospital from January 1, 2017, to January 1, 2018, were randomly selected in this study. For each patient, the CRT plan, IMRT plan, ARC plan, CRT+IMRT plan, and CRT+ARC plan were designed separately on the same set of CT images. The isodose distribution and dose-volume histogram (DVH) of the five plans were compared to determine the dosimetric parameters of the targets, OAR (organs at risk), and the normal tissue (defined as body subtracted to PTV (planning target volume), B-P). No plan had absolute dosimetry advantages than any other plans. In clinical practice, the plans could be chosen according to their dosimetry characteristics.
doi_str_mv 10.1155/2019/8989241
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subjects Aged
Analysis
Carcinoma, Non-Small-Cell Lung - radiotherapy
Care and treatment
Comparative studies
Computed tomography
Dosimeters
Dosimetry
Female
Histograms
Humans
Lung cancer
Lung cancer, Non-small cell
Lung Neoplasms - radiotherapy
Male
Medical research
Medicine, Experimental
Middle Aged
Non-small cell lung carcinoma
Organs
Organs at Risk - radiation effects
Patients
Radiation
Radiation therapy
Radiometry - methods
Radiotherapy
Radiotherapy - adverse effects
Radiotherapy - methods
Radiotherapy Dosage
title The Dosimetric Comparisons of CRT, IMRT, ARC, CRT+IMRT, and CRT+ARC of Postoperative Radiotherapy in IIIA-N2 Stage Non-Small-Cell Lung Cancer Patients
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