YU Guang-wei,MAO Xin-jian.Dosimetry evaluation and feasibility of intensity-modulated radiotherapy for non-small-cell lung cancer[J].Chinese Journal of Radiological Medicine and Protection,2007,27(2):167-169
Dosimetry evaluation and feasibility of intensity-modulated radiotherapy for non-small-cell lung cancer
Received:March 22, 2006  
DOI:
KeyWords:Non-small-cell cancer  Three-dimensional conformal radiotherapy  Intensity-modulated radiotherapy
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Author NameAffiliation
YU Guang-wei Department of Radiation Oncology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China 
MAO Xin-jian 湖州市中心医院介入放射治疗科 
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Abstract::
      Objective To investigate the feasibility of intensity-modulated radiotherapy for non-smallcell lung cancer with respect to target-dose conformity & heterogeneity and normal tissue sparing. Methods In order to compare intensity-modulated and three-dimensional conformal radiotherapy of twenty non-small-cell lung cancer patients with stage Ⅰ-Ⅳ, retrospective treatment planning study was performed. The two types of plans were designed to deliver 64 Gy to 95% of the planning target volume and to minimize the volume of normal lung, esophagus, heart and spinal cord irradiated above their tolerance doses. All plans were compared according to the planning target volume coverage, dose-volume histogram and other dosimetric parameters of normal tissues. Results Commpared with three-dimensional conformal radiotherapy, the intensity-modulated plan improved conformity without significantly sacrificing the heterogeneity with regard to planning target volume coverage. The V20 and mean dose lung of were reduced with a median reduction of 11% and 2 Gy. Conclusions It is indicated that intensity-modulated radiotherapy may be more applicable for non-small-cell lung cancer than three-dimensional conformal radiotherapy.
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