دورية أكاديمية

A multi-institutional analysis of fractionated versus single-fraction stereotactic body radiotherapy (SBRT) in the treatment of primary lung tumors. a comparison between two antipodal fractionations

التفاصيل البيبلوغرافية
العنوان: A multi-institutional analysis of fractionated versus single-fraction stereotactic body radiotherapy (SBRT) in the treatment of primary lung tumors. a comparison between two antipodal fractionations
المؤلفون: Alongi F., Nicosia L., Figlia V., De Sanctis V., Mazzola R., Giaj-Levra N., Reverberi C., Valeriani M., Osti M. F.
المساهمون: Alongi, F., Nicosia, L., Figlia, V., De Sanctis, V., Mazzola, R., Giaj-Levra, N., Reverberi, C., Valeriani, M., Osti, M. F.
بيانات النشر: Springer Science and Business Media Deutschland GmbH
GEWERBESTRASSE 11, CHAM, CH-6330, SWITZERLAND
سنة النشر: 2021
المجموعة: Sapienza Università di Roma: CINECA IRIS
مصطلحات موضوعية: early-stage nsclc, local control, sabr, single fraction, stereotactic body radiotherapy, aged, 80 and over, dose fractionation, radiation, esophagiti, female, follow-up studie, human, lung neoplasm, male, middle aged, neoplasm recurrence, local, progression-free survival, radiation pneumoniti, radiosurgery, radiotherapy dosage, time factor, tumor burden
الوصف: Objectives: Stereotactic body radiotherapy (SBRT) is a consolidate treatment for inoperable early-stage lung tumors, usually delivered in single or multi-fraction regimens. We aimed to compare these two approaches in terms of local effectiveness, safety and survival. Materials and methods: Patients affected by medically inoperable early-stage lung tumor were treated at two Institutions with two different schedules: 70Gy in ten fractions (TF) (BED10: 119Gy) or 30Gy in single fraction (SF) (BED10: 120Gy). Results: 73 patients were treated with SBRT delivered with two biological equivalent schedules: SF (44) and TF (29). The median follow-up was 34months (range 3–81months). Three-year Overall survival (OS) was 57.9%, 3-year cancer-specific survival (CSS) was 77.2%, with no difference between treatment groups. Three-year progression-free survival (LPFS) was 88.9% and did not differs between SF and TF. Overall, four cases (5.4%) of acute grade ≥ 3 pneumonitis occurred. No differences in acute and late toxicity between the two groups were detected. Conclusion: SF and TF seems to be equally safe and effective in the treatment of primary inoperable lung tumors especially for smaller lesion. The SF may be preferentially offered to reduce patient access to hospital with no negative impact on tumor control and survival.
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: info:eu-repo/semantics/altIdentifier/pmid/33840047; info:eu-repo/semantics/altIdentifier/wos/WOS:000638816400001; volume:23; issue:10; firstpage:1; lastpage:8; numberofpages:8; journal:CLINICAL & TRANSLATIONAL ONCOLOGY; http://hdl.handle.net/11573/1631519Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85104102735
DOI: 10.1007/s12094-021-02619-4
الإتاحة: https://doi.org/10.1007/s12094-021-02619-4Test
http://hdl.handle.net/11573/1631519Test
حقوق: info:eu-repo/semantics/closedAccess
رقم الانضمام: edsbas.8DC57686
قاعدة البيانات: BASE