Dosimetric comparison of CT-guided iodine-125 seed stereotactic brachytherapy and stereotactic body radiation therapy in the treatment of NSCLC.

This study aimed to assess the dosimetric differences between iodine-125 seed stereotactic brachytherapy (SBT) and stereotactic body radiation therapy (SBRT) in the treatment of non-small cell lung cancer (NSCLC). An SBT plan and an SBRT plan were generated for eleven patients with T1-2 NSCLC. Presc...

Full description

Bibliographic Details
Main Authors: Ranran Li, Ying Zhang, Yuan Yuan, Qi Lin, Jianjian Dai, Ruicai Xu, Xudong Hu, Mingyong Han
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5679513?pdf=render
_version_ 1818306628111302656
author Ranran Li
Ying Zhang
Yuan Yuan
Qi Lin
Jianjian Dai
Ruicai Xu
Xudong Hu
Mingyong Han
author_facet Ranran Li
Ying Zhang
Yuan Yuan
Qi Lin
Jianjian Dai
Ruicai Xu
Xudong Hu
Mingyong Han
author_sort Ranran Li
collection DOAJ
description This study aimed to assess the dosimetric differences between iodine-125 seed stereotactic brachytherapy (SBT) and stereotactic body radiation therapy (SBRT) in the treatment of non-small cell lung cancer (NSCLC). An SBT plan and an SBRT plan were generated for eleven patients with T1-2 NSCLC. Prescription of the dose and fractionation (fr) for SBRT was 48Gy/4fr. The planning aim for SBT was D90 (dose delivered to 90% of the target volume)≥120Gy. Student's paired t test was used to compare the dosimetric parameters. The SBT and SBRT plans had comparable PTV D90 (104.73±2.10Gyvs.107.64±2.29Gy), and similar mean volume receiving 100% of the prescription dose (V100%) (91.65% vs.92.44%, p = 0.410). The mean volume receiving 150% of the prescribed dose (V150%) for SBT was 64.71%, whereas it was 0% for SBRT. Mean heterogeneity index (HI) deviation for SBT vs. SBRT was 0.73 vs. 0.19 (p<0.0001), and the mean conformity index (CI) for SBT vs. SBRT was 0.77 vs. 0.81 (p = 0.031). The mean lung doses (MLD) in SBT were significantly lower than those in SBRT (1.952±0.713 vs. 5.618±2.009, p<0.0001). In conclusion, compared with SBRT, SBT can generate a comparable dose within PTV, while the organs at risk (OARs) only receive a very low dose. But the HI and CI in SBT were lower than in SBRT.
first_indexed 2024-12-13T06:45:30Z
format Article
id doaj.art-f90df6af445546b589b1aa508d36ba16
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-13T06:45:30Z
publishDate 2017-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-f90df6af445546b589b1aa508d36ba162022-12-21T23:56:17ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-011211e018739010.1371/journal.pone.0187390Dosimetric comparison of CT-guided iodine-125 seed stereotactic brachytherapy and stereotactic body radiation therapy in the treatment of NSCLC.Ranran LiYing ZhangYuan YuanQi LinJianjian DaiRuicai XuXudong HuMingyong HanThis study aimed to assess the dosimetric differences between iodine-125 seed stereotactic brachytherapy (SBT) and stereotactic body radiation therapy (SBRT) in the treatment of non-small cell lung cancer (NSCLC). An SBT plan and an SBRT plan were generated for eleven patients with T1-2 NSCLC. Prescription of the dose and fractionation (fr) for SBRT was 48Gy/4fr. The planning aim for SBT was D90 (dose delivered to 90% of the target volume)≥120Gy. Student's paired t test was used to compare the dosimetric parameters. The SBT and SBRT plans had comparable PTV D90 (104.73±2.10Gyvs.107.64±2.29Gy), and similar mean volume receiving 100% of the prescription dose (V100%) (91.65% vs.92.44%, p = 0.410). The mean volume receiving 150% of the prescribed dose (V150%) for SBT was 64.71%, whereas it was 0% for SBRT. Mean heterogeneity index (HI) deviation for SBT vs. SBRT was 0.73 vs. 0.19 (p<0.0001), and the mean conformity index (CI) for SBT vs. SBRT was 0.77 vs. 0.81 (p = 0.031). The mean lung doses (MLD) in SBT were significantly lower than those in SBRT (1.952±0.713 vs. 5.618±2.009, p<0.0001). In conclusion, compared with SBRT, SBT can generate a comparable dose within PTV, while the organs at risk (OARs) only receive a very low dose. But the HI and CI in SBT were lower than in SBRT.http://europepmc.org/articles/PMC5679513?pdf=render
spellingShingle Ranran Li
Ying Zhang
Yuan Yuan
Qi Lin
Jianjian Dai
Ruicai Xu
Xudong Hu
Mingyong Han
Dosimetric comparison of CT-guided iodine-125 seed stereotactic brachytherapy and stereotactic body radiation therapy in the treatment of NSCLC.
PLoS ONE
title Dosimetric comparison of CT-guided iodine-125 seed stereotactic brachytherapy and stereotactic body radiation therapy in the treatment of NSCLC.
title_full Dosimetric comparison of CT-guided iodine-125 seed stereotactic brachytherapy and stereotactic body radiation therapy in the treatment of NSCLC.
title_fullStr Dosimetric comparison of CT-guided iodine-125 seed stereotactic brachytherapy and stereotactic body radiation therapy in the treatment of NSCLC.
title_full_unstemmed Dosimetric comparison of CT-guided iodine-125 seed stereotactic brachytherapy and stereotactic body radiation therapy in the treatment of NSCLC.
title_short Dosimetric comparison of CT-guided iodine-125 seed stereotactic brachytherapy and stereotactic body radiation therapy in the treatment of NSCLC.
title_sort dosimetric comparison of ct guided iodine 125 seed stereotactic brachytherapy and stereotactic body radiation therapy in the treatment of nsclc
url http://europepmc.org/articles/PMC5679513?pdf=render
work_keys_str_mv AT ranranli dosimetriccomparisonofctguidediodine125seedstereotacticbrachytherapyandstereotacticbodyradiationtherapyinthetreatmentofnsclc
AT yingzhang dosimetriccomparisonofctguidediodine125seedstereotacticbrachytherapyandstereotacticbodyradiationtherapyinthetreatmentofnsclc
AT yuanyuan dosimetriccomparisonofctguidediodine125seedstereotacticbrachytherapyandstereotacticbodyradiationtherapyinthetreatmentofnsclc
AT qilin dosimetriccomparisonofctguidediodine125seedstereotacticbrachytherapyandstereotacticbodyradiationtherapyinthetreatmentofnsclc
AT jianjiandai dosimetriccomparisonofctguidediodine125seedstereotacticbrachytherapyandstereotacticbodyradiationtherapyinthetreatmentofnsclc
AT ruicaixu dosimetriccomparisonofctguidediodine125seedstereotacticbrachytherapyandstereotacticbodyradiationtherapyinthetreatmentofnsclc
AT xudonghu dosimetriccomparisonofctguidediodine125seedstereotacticbrachytherapyandstereotacticbodyradiationtherapyinthetreatmentofnsclc
AT mingyonghan dosimetriccomparisonofctguidediodine125seedstereotacticbrachytherapyandstereotacticbodyradiationtherapyinthetreatmentofnsclc