Frontiers in planning optimization for lung SBRT

Francesca Romana Giglioli, Stefania Clemente, Marco Esposito, Christian Fiandra, Carmelo Marino, Serenella Russo, Lidia Strigari, Elena Villaggi, Michele Stasi, Pietro Mancosu

Research output: Contribution to journalArticle

Abstract

Emerging data are showing the safety and the efficacy of Stereotactic Body Radiation therapy (SBRT) in lung cancer management. In this context, the very high doses delivered to the Planning Target Volume, make the planning phase essential for achieving high dose levels conformed to the shape of the target in order to have a good prognosis for tumor control and to avoid an overdose in relevant healthy adjacent tissue. In this non-systematic review we analyzed the technological and the physics aspects of SBRT planning for lung cancer. In particular, the aims of the study were: (i) to evaluate prescription strategies (homogeneous or inhomogeneous), (ii) to outline possible geometrical solutions by comparing the dosimetric results (iii) to describe the technological possibilities for a safe and effective treatment, (iv) to present the issues concerning radiobiological planning and the automation of the planning process.

Original languageEnglish
Pages (from-to)163-170
Number of pages8
JournalPhysica Medica
Volume44
DOIs
Publication statusPublished - Dec 1 2017

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Keywords

  • Lung
  • Planning
  • Stereotactic ablative radiotherapy (SABR)
  • Stereotactic Body Radiation Therapy (SBRT)

ASJC Scopus subject areas

  • Biophysics
  • Radiology Nuclear Medicine and imaging
  • Physics and Astronomy(all)

Cite this

Giglioli, F. R., Clemente, S., Esposito, M., Fiandra, C., Marino, C., Russo, S., Strigari, L., Villaggi, E., Stasi, M., & Mancosu, P. (2017). Frontiers in planning optimization for lung SBRT. Physica Medica, 44, 163-170. https://doi.org/10.1016/j.ejmp.2017.05.064