COMPARATIVE ANALYSIS OF THE RADIATION EXPOSURE ON THE TARGET AND CRITICAL ORGANS WITH 2D AND 3D PLANNING OF RADIATION THERAPY FOR LUNG CANCER

Background and purpose. The purpose of this investigation was to evaluate feasibility, safety and efficacy of radiotherapy for inoperable non-small-cell lung cancer (NSCLC). Various radiotherapy planning methods have been proposed to decrease normal tissue toxicity. We compared 2D-RT with 3D-RT for...

Full description

Saved in:
Bibliographic Details
Main Authors: I. A. Gulidov, I. N. Ivanova, D. V. Gogolin, A. I. Gorsky, L. V. Kursova, A. Ju. Bouksha, Yu. A. Ragulin
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Tomsk National Research Medical Center 2016-02-01
Series:Сибирский онкологический журнал
Subjects:
Online Access:https://www.siboncoj.ru/jour/article/view/142
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849699854307033088
author I. A. Gulidov
I. N. Ivanova
D. V. Gogolin
A. I. Gorsky
L. V. Kursova
A. Ju. Bouksha
Yu. A. Ragulin
author_facet I. A. Gulidov
I. N. Ivanova
D. V. Gogolin
A. I. Gorsky
L. V. Kursova
A. Ju. Bouksha
Yu. A. Ragulin
author_sort I. A. Gulidov
collection DOAJ
description Background and purpose. The purpose of this investigation was to evaluate feasibility, safety and efficacy of radiotherapy for inoperable non-small-cell lung cancer (NSCLC). Various radiotherapy planning methods have been proposed to decrease normal tissue toxicity. We compared 2D-RT with 3D-RT for NSCLC. Parameters assessed included dose to PTV and organ-at-risk (OAR), multiple conformity and homogeneity indices. Material and methods. Initial and re-simulation CT images from 52 consecutive patients with IIB – IIIB NSCLC were used to quantify dosimetric differences between 2D and 3D conformal radiotherapy. Contouring was performed on both CTs, and plans (n=104 plans) and dose-volume histograms were generated. Results. All plans provided comparable PTV coverage. Compared with 2D-RT, 3D-RT significantly reduced the maximum dose to heart (p<0.01), spinal cord (p<0.01), whole lung (p<0.01), esophagus (p<0.02) – Wilcoxon test.
format Article
id doaj-art-4da22a14ba14406493fa5d2c7abc1814
institution DOAJ
issn 1814-4861
2312-3168
language Russian
publishDate 2016-02-01
publisher Russian Academy of Sciences, Tomsk National Research Medical Center
record_format Article
series Сибирский онкологический журнал
spelling doaj-art-4da22a14ba14406493fa5d2c7abc18142025-08-20T03:18:27ZrusRussian Academy of Sciences, Tomsk National Research Medical CenterСибирский онкологический журнал1814-48612312-31682016-02-01151420142COMPARATIVE ANALYSIS OF THE RADIATION EXPOSURE ON THE TARGET AND CRITICAL ORGANS WITH 2D AND 3D PLANNING OF RADIATION THERAPY FOR LUNG CANCERI. A. Gulidov0I. N. Ivanova1D. V. Gogolin2A. I. Gorsky3L. V. Kursova4A. Ju. Bouksha5Yu. A. Ragulin6A.F. Tsyba Medical Radiological Research Center affiliated to P.A. Gertsen Moscow Cancer Research Institute, ObninskA.F. Tsyba Medical Radiological Research Center affiliated to P.A. Gertsen Moscow Cancer Research Institute, ObninskA.F. Tsyba Medical Radiological Research Center affiliated to P.A. Gertsen Moscow Cancer Research Institute, ObninskA.F. Tsyba Medical Radiological Research Center affiliated to P.A. Gertsen Moscow Cancer Research Institute, ObninskA.F. Tsyba Medical Radiological Research Center affiliated to P.A. Gertsen Moscow Cancer Research Institute, ObninskA.F. Tsyba Medical Radiological Research Center affiliated to P.A. Gertsen Moscow Cancer Research Institute, ObninskA.F. Tsyba Medical Radiological Research Center affiliated to P.A. Gertsen Moscow Cancer Research Institute, ObninskBackground and purpose. The purpose of this investigation was to evaluate feasibility, safety and efficacy of radiotherapy for inoperable non-small-cell lung cancer (NSCLC). Various radiotherapy planning methods have been proposed to decrease normal tissue toxicity. We compared 2D-RT with 3D-RT for NSCLC. Parameters assessed included dose to PTV and organ-at-risk (OAR), multiple conformity and homogeneity indices. Material and methods. Initial and re-simulation CT images from 52 consecutive patients with IIB – IIIB NSCLC were used to quantify dosimetric differences between 2D and 3D conformal radiotherapy. Contouring was performed on both CTs, and plans (n=104 plans) and dose-volume histograms were generated. Results. All plans provided comparable PTV coverage. Compared with 2D-RT, 3D-RT significantly reduced the maximum dose to heart (p<0.01), spinal cord (p<0.01), whole lung (p<0.01), esophagus (p<0.02) – Wilcoxon test.https://www.siboncoj.ru/jour/article/view/142non-small cell lung cancer, comparison of conventional and conformal radiation therapy
spellingShingle I. A. Gulidov
I. N. Ivanova
D. V. Gogolin
A. I. Gorsky
L. V. Kursova
A. Ju. Bouksha
Yu. A. Ragulin
COMPARATIVE ANALYSIS OF THE RADIATION EXPOSURE ON THE TARGET AND CRITICAL ORGANS WITH 2D AND 3D PLANNING OF RADIATION THERAPY FOR LUNG CANCER
Сибирский онкологический журнал
non-small cell lung cancer, comparison of conventional and conformal radiation therapy
title COMPARATIVE ANALYSIS OF THE RADIATION EXPOSURE ON THE TARGET AND CRITICAL ORGANS WITH 2D AND 3D PLANNING OF RADIATION THERAPY FOR LUNG CANCER
title_full COMPARATIVE ANALYSIS OF THE RADIATION EXPOSURE ON THE TARGET AND CRITICAL ORGANS WITH 2D AND 3D PLANNING OF RADIATION THERAPY FOR LUNG CANCER
title_fullStr COMPARATIVE ANALYSIS OF THE RADIATION EXPOSURE ON THE TARGET AND CRITICAL ORGANS WITH 2D AND 3D PLANNING OF RADIATION THERAPY FOR LUNG CANCER
title_full_unstemmed COMPARATIVE ANALYSIS OF THE RADIATION EXPOSURE ON THE TARGET AND CRITICAL ORGANS WITH 2D AND 3D PLANNING OF RADIATION THERAPY FOR LUNG CANCER
title_short COMPARATIVE ANALYSIS OF THE RADIATION EXPOSURE ON THE TARGET AND CRITICAL ORGANS WITH 2D AND 3D PLANNING OF RADIATION THERAPY FOR LUNG CANCER
title_sort comparative analysis of the radiation exposure on the target and critical organs with 2d and 3d planning of radiation therapy for lung cancer
topic non-small cell lung cancer, comparison of conventional and conformal radiation therapy
url https://www.siboncoj.ru/jour/article/view/142
work_keys_str_mv AT iagulidov comparativeanalysisoftheradiationexposureonthetargetandcriticalorganswith2dand3dplanningofradiationtherapyforlungcancer
AT inivanova comparativeanalysisoftheradiationexposureonthetargetandcriticalorganswith2dand3dplanningofradiationtherapyforlungcancer
AT dvgogolin comparativeanalysisoftheradiationexposureonthetargetandcriticalorganswith2dand3dplanningofradiationtherapyforlungcancer
AT aigorsky comparativeanalysisoftheradiationexposureonthetargetandcriticalorganswith2dand3dplanningofradiationtherapyforlungcancer
AT lvkursova comparativeanalysisoftheradiationexposureonthetargetandcriticalorganswith2dand3dplanningofradiationtherapyforlungcancer
AT ajubouksha comparativeanalysisoftheradiationexposureonthetargetandcriticalorganswith2dand3dplanningofradiationtherapyforlungcancer
AT yuaragulin comparativeanalysisoftheradiationexposureonthetargetandcriticalorganswith2dand3dplanningofradiationtherapyforlungcancer