Variation in current prescription practice of stereotactic body radiotherapy for peripherally located early stage non-small cell lung cancer: Recommendations for prescribing and recording according to the ACROP guideline and ICRU report 91
Autor: | Thomas Lacornerie, Suresh Senan, T.B. Nyeng, M. Milder, Evelyn E.C. de Jong, Dirk Verellen, Ditte Sloth Møller, Stephanie Tanadini-Lang, Matthias Guckenberger, Coen W. Hurkmans, W.F.A.R. Verbakel, Nicolaus Andratschke, Eric Lartigau, Karin Dieckmann, Mischa S. Hoogeman, Geert De Kerf |
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Přispěvatelé: | University of Zurich, de Jong, Evelyn E C, Radiotherapy, Radiation Oncology |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Lung Neoplasms 2720 Hematology Planning target volume ACROP 610 Medicine & health Radiosurgery 030218 nuclear medicine & medical imaging Dose planning 03 medical and health sciences 0302 clinical medicine ICRU SDG 3 - Good Health and Well-being Carcinoma Non-Small-Cell Lung medicine Humans 2741 Radiology Nuclear Medicine and Imaging Radiology Nuclear Medicine and imaging Stage (cooking) Medical prescription Lung cancer Lung Computer. Automation SBRT business.industry Harmonisation Radiotherapy Planning Computer-Assisted Radiotherapy Dosage Guideline Hematology Recommendation medicine.disease 10044 Clinic for Radiation Oncology Oncology Radiology Nuclear Medicine and imaging 030220 oncology & carcinogenesis Practice Guidelines as Topic 2730 Oncology Radiology Non small cell Human medicine Guideline Adherence business Stereotactic body radiotherapy |
Zdroj: | Radiotherapy and Oncology, 142, 217-223. Elsevier Ireland Ltd Radiotherapy and oncology de Jong, E E C, Guckenberger, M, Andratschke, N, Dieckmann, K, Hoogeman, M S, Milder, M, Møller, D S, Nyeng, T B, Tanadini-Lang, S, Lartigau, E, Lacornerie, T, Senan, S, Verbakel, W, Verellen, D, De Kerf, G & Hurkmans, C 2020, ' Variation in current prescription practice of stereotactic body radiotherapy for peripherally located early stage non-small cell lung cancer: Recommendations for prescribing and recording according to the ACROP guideline and ICRU report 91 ', Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, vol. 142, pp. 217-223 . https://doi.org/10.1016/j.radonc.2019.11.001 de Jong, E E C, Guckenberger, M, Andratschke, N, Dieckmann, K, Hoogeman, M S, Milder, M, Møller, D S, Nyeng, T B, Tanadini-Lang, S, Lartigau, E, Lacornerie, T, Senan, S, Verbakel, W, Verellen, D, De Kerf, G & Hurkmans, C 2020, ' Variation in current prescription practice of stereotactic body radiotherapy for peripherally located early stage non-small cell lung cancer : Recommendations for prescribing and recording according to the ACROP guideline and ICRU report 91 ', Radiotherapy and Oncology, vol. 142, pp. 217-223 . https://doi.org/10.1016/j.radonc.2019.11.001 |
ISSN: | 1879-0887 0167-8140 |
DOI: | 10.1016/j.radonc.2019.11.001 |
Popis: | Background and purpose: In 2017 the ACROP guideline on SBRT for peripherally located early stage NSCLC was published. Later that year ICRU-91 about prescribing, recording and reporting was published. The purpose of this study is to quantify the current variation in prescription practice in the institutions that contributed to the ACROP guideline and to establish the link between the ACROP and ICRU-91 recommendations. Material and methods: From each of the eight participating centres, 15 SBRT plans for stage I NSCLC were analyzed. Plans were generated following the institutional protocol, centres prescribed 3 x 13.5 Gy, 3 x 15 Gy, 3 x 17 Gy or 3 x 18 Gy. Dose parameters of the target volumes were reported as recommended by ICRU-91 and also converted to BED10Gy. Results: The intra-institutional variance in D98%, Dmean and D2% of the PTV and GTV/ITV is substantially smaller than the inter-institutional spread, indicating well protocollised planning procedures are followed. The median values per centre ranged from 56.1 Gy to 73.1 Gy (D2%), 50.4 Gy to 63.3 Gy (Dmean) and 40.5 Gy to 53.6 Gy (D98%) for the PTV and from 57.1 Gy to 73.6 Gy (D2%), 53.7 Gy to 68.7 Gy (Dmean) and 48.5 Gy to 62.3 Gy (D98%) for the GTV/ITV. Comparing the variance in PTV D98% with the variance in GTV Dmean per centre, using an F-test, shows that four centres have a larger variance in GTV Dmean, while one centre has a larger variance in PTV D98% (p values |
Databáze: | OpenAIRE |
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