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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Matthias Guckenberger - , University of Würzburg, University of Zurich (Author)
  • Rainer J. Klement - , Leopoldina Krankenhaus Schweinfurt (Author)
  • Michael Allgäuer - , Hospital of the Brothers of Mercy Regensburg (Author)
  • Nicolaus Andratschke - , University of Zurich, University of Rostock (Author)
  • Oliver Blanck - , University Hospital Schleswig-Holstein Campus Kiel (Author)
  • Judit Boda-Heggemann - , Heidelberg University  (Author)
  • Karin Dieckmann - , Medical University of Vienna (Author)
  • Marciana Duma - , Technical University of Munich (Author)
  • Iris Ernst - , University of Münster (Author)
  • Ute Ganswindt - , Ludwig Maximilian University of Munich (Author)
  • Peter Hass - , Otto von Guericke University Magdeburg (Author)
  • Christoph Henkenberens - , Hannover Medical School (MHH) (Author)
  • Richard Holy - , RWTH Aachen University (Author)
  • Detlef Imhoff - , University Hospital Frankfurt (Author)
  • Henning K. Kahl - , University Hospital Augsburg (Author)
  • Robert Krempien - , Fresenius AG (Author)
  • Fabian Lohaus - , Department of Radiotherapy and Radiooncology (Author)
  • Ursula Nestle - , University Medical Center Freiburg (Author)
  • Meinhard Nevinny-Stickel - , Innsbruck Medical University (Author)
  • Cordula Petersen - , University of Hamburg (Author)
  • Sabine Semrau - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Jan Streblow - , Heidelberg University  (Author)
  • Thomas G. Wendt - , Friedrich Schiller University Jena (Author)
  • Andrea Wittig - , University of Marburg (Author)
  • Michael Flentje - , University of Würzburg (Author)
  • Florian Sterzing - , Heidelberg University  (Author)

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

Original languageEnglish
Pages (from-to)485-491
Number of pages7
JournalRadiotherapy and oncology
Volume118
Issue number3
Publication statusPublished - 1 Mar 2016
Peer-reviewedYes

External IDs

PubMed 26385265

Keywords

Sustainable Development Goals

Keywords

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