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A moving target: Image guidance for stereotactic body radiation therapy for early-stage non-small cell lung cancer

Practical Radiation OncologyPublished 29 November 2012
Michael N. Corradetti, Nandita Mitra, Lara P. Bonner Millar, John Byun, Wan Fei, Smith Apisarnthanarax
Citations120
SJR quartileQ1
SJR score1.01
SNIP1.04

TL;DR

Kovoltage x-ray matching to bony anatomy is inadequate for accurate positioning when a conventional 3-5 mm margin is employed prior to lung SBRT, and CBCT image guidance with a 5-mm planning target volume margin is recommended.

Abstract

Kilovoltage x-ray matching to bony anatomy is inadequate for accurate positioning when a conventional 3-5 mm margin is employed prior to lung SBRT. Given the treatment techniques used in this study, CBCT image guidance with a 5-mm planning target volume margin is recommended. Further work is required to find determinants of interfraction and intrafraction motion that may help guide the individualized application of planning target volume margins.

Keywords

MedicinePhysics and Astronomy