Expert Recommendations
Copyright ©The Author(s) 2020.
World J Clin Oncol. Aug 24, 2020; 11(8): 510-527
Published online Aug 24, 2020. doi: 10.5306/wjco.v11.i8.510
Table 2 Hypofractionated radiotherapy for locally-advanced non-small cell lung cancer
StudyCTFxDoseTimeEQD-210HDVComments
Soccar trial Randomized, Phase II[41]Sequential; Concomitant20 × 2.75 Gy55 Gy26 d58.4 GyLungs-GTV: V20 < 35%; MLD < 18 Gy; Spinal cord: Dmax 44 Gy; Esophagus: D1 cc < 55 Gy; Heart:V30 < 36%; Brachial plexus: Dmax 55 GyHigh concomitant toxicity; CT adjusted dose required; Not compared vs standard (60 Gy); Widely used in United Kingdom
Anderson, Retrospective[42]Sequential15 × 3 Gy45 Gy19 d48,7 GyNot publishedRetrospective comparison; Similar results to standard: 30 × 2 (60 Gy)
Toronto Retrospective[43]; Anderson Randomized, Phase III[45]Sequential15 × 4 Gy60 Gy19 d70 GyLungs-GTV: V20 < 30%; V5 < 60%; MLD < 20 Gy; Spinal cord: Dmax 38 Gy; Esophagus: Dmax < 50 Gy; V45 < 10cc; Heart y MBV: Dmax < 63 Gy; V57 < 10 cc; Trachea y MB: Dmax < 63 Gy; V57 < 10 cc; Rib: Dmáx < 63 Gy; V30 < 30 cc; Brachial plexus: Dmax < 50 Gy; Skin < 50 GyUsed for SBRT; Lack of data in stage III; Phase III RCT; 15 × 4 vs 30 × 2; Final results not published