Normal tissue considerations and dose-volume constraints in the moderately hypofractionated treatment of non-small cell lung cancer

Radiother Oncol. 2016 Jun;119(3):423-31. doi: 10.1016/j.radonc.2016.03.013. Epub 2016 Apr 12.

Abstract

Hypofractionated radiation therapy (RT) regimes in non-small cell lung cancer (NSCLC) have become increasingly popular with a number of international trials currently underway. The majority of the dose-volume-constraints (DVCs) published in the literature refer to conventional 2Gy per fraction deliveries. Here relevant organs-at-risk (OARs) are identified and available dose-volume constraint data discussed and summarised for moderately hypofractionated NSCLC regimes. The OARs examined include lung, brachial plexus, heart, oesophagus, airway and spinal cord. Where available the toxicity rates are also reported with all data summarised tabulated to aid its use in the clinic.

Keywords: DVCs; Dose–volume constraints; Hypofractionated; NSCLC; Toxicity.

Publication types

  • Review

MeSH terms

  • Brachial Plexus / radiation effects
  • Carcinoma, Non-Small-Cell Lung / radiotherapy*
  • Dose Fractionation, Radiation*
  • Esophagus / radiation effects
  • Heart / radiation effects
  • Humans
  • Lung / radiation effects
  • Lung Neoplasms / radiotherapy*
  • Organs at Risk
  • Radiotherapy Dosage