Local tumor control probability modeling of primary and secondary lung tumors in stereotactic body radiotherapy

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Matthias Guckenberger - , Julius-Maximilians-Universität Würzburg, Universität Zürich (Autor:in)
  • Rainer J. Klement - , Leopoldina Krankenhaus Schweinfurt (Autor:in)
  • Michael Allgäuer - , Krankenhaus Barmherzige Brüder Regensburg (Autor:in)
  • Nicolaus Andratschke - , Universität Zürich, Universität Rostock (Autor:in)
  • Oliver Blanck - , Universitätsklinikum Schleswig-Holstein Campus Kiel (Autor:in)
  • Judit Boda-Heggemann - , Universität Heidelberg (Autor:in)
  • Karin Dieckmann - , Medizinische Universität Wien (Autor:in)
  • Marciana Duma - , Technische Universität München (Autor:in)
  • Iris Ernst - , Westfälische Wilhelms-Universität Münster (Autor:in)
  • Ute Ganswindt - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Peter Hass - , Otto-von-Guericke-Universität Magdeburg (Autor:in)
  • Christoph Henkenberens - , Medizinische Hochschule Hannover (MHH) (Autor:in)
  • Richard Holy - , Rheinisch-Westfälische Technische Hochschule Aachen (Autor:in)
  • Detlef Imhoff - , Universitätsklinikum Frankfurt (Autor:in)
  • Henning K. Kahl - , Universitätsklinikum Augsburg (Autor:in)
  • Robert Krempien - , Fresenius AG (Autor:in)
  • Fabian Lohaus - , Klinik und Poliklinik für Strahlentherapie und Radioonkologie (Autor:in)
  • Ursula Nestle - , Universitätsklinikum Freiburg (Autor:in)
  • Meinhard Nevinny-Stickel - , Medizinische Universität Innsbruck (Autor:in)
  • Cordula Petersen - , Universität Hamburg (Autor:in)
  • Sabine Semrau - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Jan Streblow - , Universität Heidelberg (Autor:in)
  • Thomas G. Wendt - , Friedrich-Schiller-Universität Jena (Autor:in)
  • Andrea Wittig - , Philipps-Universität Marburg (Autor:in)
  • Michael Flentje - , Julius-Maximilians-Universität Würzburg (Autor:in)
  • Florian Sterzing - , Universität Heidelberg (Autor:in)

Abstract

Background and purpose To evaluate whether local tumor control probability (TCP) in stereotactic body radiotherapy (SBRT) varies between lung metastases of different primary cancer sites and between primary non-small cell lung cancer (NSCLC) and secondary lung tumors. Materials and methods A retrospective multi-institutional (n = 22) database of 399 patients with stage I NSCLC and 397 patients with 525 lung metastases was analyzed. Irradiation doses were converted to biologically effective doses (BED). Logistic regression was used for local tumor control probability (TCP) modeling and the second-order bias corrected Akaike Information Criterion was used for model comparison. Results After median follow-up of 19 months and 16 months (n.s.), local tumor control was observed in 87.7% and 86.7% of the primary and secondary lung tumors (n.s.), respectively. A strong dose-response relationship was observed in the primary NSCLC and metastatic cohort but dose-response relationships were not significantly different: the TCD90 (dose to achieve 90% TCP; BED of maximum planning target volume dose) estimates were 176 Gy (151-223) and 160 Gy (123-237) (n.s.), respectively. The dose-response relationship was not influenced by the primary cancer site within the metastatic cohort. Conclusions Dose-response relationships for local tumor control in SBRT were not different between lung metastases of various primary cancer sites and between primary NSCLC and lung metastases.

Details

OriginalspracheEnglisch
Seiten (von - bis)485-491
Seitenumfang7
FachzeitschriftRadiotherapy and oncology
Jahrgang118
Ausgabenummer3
PublikationsstatusVeröffentlicht - 1 März 2016
Peer-Review-StatusJa

Externe IDs

PubMed 26385265

Schlagworte

Ziele für nachhaltige Entwicklung

Schlagwörter

  • Lung metastases, Non-small cell lung cancer, Stereotactic body radiotherapy, Tumor control probability