Dose-Differentiated Accelerated Radiotherapy for Lung Cancer
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Corresponding Organization : Paracelsus Medical University
Protocol cited in 4 other protocols
Variable analysis
- Dose‐differentiated accelerated radiotherapy with intensity modulated radiotherapy (IMRT‐DART)
- Sequential chemoradiation mode
- Dose increments from 73.8 to 90 Gy depending on tumor size
- Twice daily treatment with 1.8 Gy per fraction
- Dose of 61.2 or 73.8 Gy for ultracentrally located tumors with invasion of the central vessels or airways
- Dose of 54–61.2 Gy for involved lymph nodes in twice daily fractions of 1.8 Gy each
- Dose of 47.6 Gy for the nodes next to the involved area in twice daily fractions of 1.4 Gy each
- Induction chemotherapy consisting of two cycles of either Cisplatinum or Carboplatinum combined with Pemetrexed, Gemcitabine or Vinorelbine according to histology
- Durvalumab maintenance therapy for one year after the end of radiotherapy
- Tumor response
- Toxicity outcomes
- Mean lung dose (MLD) < 20 Gy
- V25total lung < 30%
- V20ipsilateral lung < 50%
- Mean esophageal dose (MED) < 34 Gy
- Maximum dose to the spinal cord 45 Gy (maximum dose of 1.3 Gy per fraction)
- V25heart < 10%
- Local antimycotic prophylaxis to mitigate potential esophageal toxicity
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