[Adaptive radiation therapy for non-small cell lung cancer].
Fiche publication
Date publication
octobre 2015
Journal
Cancer radiotherapie : journal de la Societe francaise de radiotherapie oncologique
Auteurs
Membres identifiés du Cancéropôle Est :
Dr FAIVRE Jean-Christophe
Tous les auteurs :
Bibault JE, Arsène-Henry A, Durdux C, Mornex F, Hamza S, Trouette R, Thureau S, Faivre JC, Boisselier P, Lerouge D, Paragios N, Giraud P
Lien Pubmed
Résumé
Anatomical changes and tumor regression during thoracic radiotherapy may alter the treatment volumes. These modifications are not taken into account into set-up or motion margins used for treatment planning. Their dosimetric impact could be significant and a better understanding of the changes occurring during the 6 to 7 weeks of treatment could be useful in order to define quantitative thresholds before a new treatment planning is needed. Margins could also be reduced in order to better spare organs at risk and perform targeted dose escalation. This review assesses the potential of morphologic and metabolic imaging during treatment for adaptive radiotherapy in non-small cell lung cancer.
Mots clés
Carcinome bronchique, Conformal, Image-guided, Incertitude anatomique, Intensity modulation, Lung neoplasms, Modulation d’intensité, Radiotherapy, Radiothérapie adaptative, Radiothérapie conformationnelle, Uncertainty
Référence
Cancer Radiother. 2015 Oct;19(6-7):458-62