The potential of biology-guided radiation therapy in thoracic cancer: A preliminary treatment planning study

PurposeWe investigated the feasibility of biology-guided radiotherapy (BgRT), a technique that utilizes real-time positron emission imaging to minimize tumor motion uncertainties, to spare nearby organs at risk.MethodsVolumetric modulated arc therapy (VMAT), intensity-modulated proton (IMPT) therapy...

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Main Authors: Steven N. Seyedin, Rostem Bassalow, Osama R. Mawlawi, Lehendrick M. Turner, Roshal R. Patel, Samuel R. Mazin, Oluwaseyi M. Oderinde, Yevgen Voronenko, Cody A. Wages, Peter D. Olcott, Joe Y. Chang, Peter A. Balter, James W. Welsh
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.921473/full
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author Steven N. Seyedin
Rostem Bassalow
Osama R. Mawlawi
Lehendrick M. Turner
Roshal R. Patel
Samuel R. Mazin
Oluwaseyi M. Oderinde
Yevgen Voronenko
Cody A. Wages
Peter D. Olcott
Joe Y. Chang
Peter A. Balter
James W. Welsh
author_facet Steven N. Seyedin
Rostem Bassalow
Osama R. Mawlawi
Lehendrick M. Turner
Roshal R. Patel
Samuel R. Mazin
Oluwaseyi M. Oderinde
Yevgen Voronenko
Cody A. Wages
Peter D. Olcott
Joe Y. Chang
Peter A. Balter
James W. Welsh
author_sort Steven N. Seyedin
collection DOAJ
description PurposeWe investigated the feasibility of biology-guided radiotherapy (BgRT), a technique that utilizes real-time positron emission imaging to minimize tumor motion uncertainties, to spare nearby organs at risk.MethodsVolumetric modulated arc therapy (VMAT), intensity-modulated proton (IMPT) therapy, and BgRT plans were created for a paratracheal node recurrence (case 1; 60 Gy in 10 fractions) and a primary peripheral left upper lobe adenocarcinoma (case 2; 50 Gy in four fractions).ResultsFor case 1, BgRT produced lower bronchus V40 values compared to VMAT and IMPT. For case 2, total lung V20 was lower in the BgRT case compared to VMAT and IMPT.ConclusionsBgRT has the potential to reduce the radiation dose to proximal critical structures but requires further detailed investigation.
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spelling doaj.art-d124dc2cb57b42aeacff0a31835a09142022-12-22T04:31:53ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-10-011210.3389/fonc.2022.921473921473The potential of biology-guided radiation therapy in thoracic cancer: A preliminary treatment planning studySteven N. Seyedin0Rostem Bassalow1Osama R. Mawlawi2Lehendrick M. Turner3Roshal R. Patel4Samuel R. Mazin5Oluwaseyi M. Oderinde6Yevgen Voronenko7Cody A. Wages8Peter D. Olcott9Joe Y. Chang10Peter A. Balter11James W. Welsh12Department of Radiation Oncology, University of California, Irvine-Chao Family Comprehensive Cancer Center, Orange, CA, United StatesNorthwest Medical Physics Center, Lynnwood, WA, United StatesDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, United StatesRefleXion Medical, Hayward, CA, United StatesRefleXion Medical, Hayward, CA, United StatesRefleXion Medical, Hayward, CA, United StatesDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesRefleXion Medical, Hayward, CA, United StatesDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesPurposeWe investigated the feasibility of biology-guided radiotherapy (BgRT), a technique that utilizes real-time positron emission imaging to minimize tumor motion uncertainties, to spare nearby organs at risk.MethodsVolumetric modulated arc therapy (VMAT), intensity-modulated proton (IMPT) therapy, and BgRT plans were created for a paratracheal node recurrence (case 1; 60 Gy in 10 fractions) and a primary peripheral left upper lobe adenocarcinoma (case 2; 50 Gy in four fractions).ResultsFor case 1, BgRT produced lower bronchus V40 values compared to VMAT and IMPT. For case 2, total lung V20 was lower in the BgRT case compared to VMAT and IMPT.ConclusionsBgRT has the potential to reduce the radiation dose to proximal critical structures but requires further detailed investigation.https://www.frontiersin.org/articles/10.3389/fonc.2022.921473/fullradiation therapystereotactic radiotherapythoracic cancerBgRTPET guidance
spellingShingle Steven N. Seyedin
Rostem Bassalow
Osama R. Mawlawi
Lehendrick M. Turner
Roshal R. Patel
Samuel R. Mazin
Oluwaseyi M. Oderinde
Yevgen Voronenko
Cody A. Wages
Peter D. Olcott
Joe Y. Chang
Peter A. Balter
James W. Welsh
The potential of biology-guided radiation therapy in thoracic cancer: A preliminary treatment planning study
Frontiers in Oncology
radiation therapy
stereotactic radiotherapy
thoracic cancer
BgRT
PET guidance
title The potential of biology-guided radiation therapy in thoracic cancer: A preliminary treatment planning study
title_full The potential of biology-guided radiation therapy in thoracic cancer: A preliminary treatment planning study
title_fullStr The potential of biology-guided radiation therapy in thoracic cancer: A preliminary treatment planning study
title_full_unstemmed The potential of biology-guided radiation therapy in thoracic cancer: A preliminary treatment planning study
title_short The potential of biology-guided radiation therapy in thoracic cancer: A preliminary treatment planning study
title_sort potential of biology guided radiation therapy in thoracic cancer a preliminary treatment planning study
topic radiation therapy
stereotactic radiotherapy
thoracic cancer
BgRT
PET guidance
url https://www.frontiersin.org/articles/10.3389/fonc.2022.921473/full
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