1. Stereotactic body radiation therapy for non-small cell lung cancer using the non-coplanar radiation of Cyberknife and Varian linac
- Author
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Yanchun Bai, Xiaobin Tang, Qiushuang Zhao, Wencheng Shao, Bingchen Xu, Yang Wang, Ziyin Chen, and Lili Xu
- Subjects
Lung Neoplasms ,Stereotactic body radiation therapy ,medicine.medical_treatment ,Radiosurgery ,Linear particle accelerator ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Planned Dose ,Cyberknife ,Carcinoma, Non-Small-Cell Lung ,Medical imaging ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,Electrical and Electronic Engineering ,Lung cancer ,Instrumentation ,Retrospective Studies ,Radiation ,business.industry ,Varian Eclipse ,Radiotherapy Planning, Computer-Assisted ,Radiotherapy Dosage ,Condensed Matter Physics ,medicine.disease ,Radiation therapy ,030220 oncology & carcinogenesis ,Radiotherapy, Intensity-Modulated ,Nuclear medicine ,business - Abstract
PURPOSE: This study aims to evaluate the planned dose of stereotactic body radiation therapy (SBRT) for treating early peripheral non-small cell lung cancer (NSCLC) using the non-coplanar radiation from Cyberknife and Varian linac. Moreover, this study investigates whether Cyberknife and Varian linac are qualified for non-coplanar radiation SBRT for treating early peripheral NSCLC, and which one is better for protecting organs at risk (OARs). METHODS: Retrospective analysis was performed based on the Cyberknife radiation treatment plans (RTPs) and Varian Eclipse RTPs of 10 patients diagnosed with early peripheral NSCLC. The dose distributions in the target and OARs were compared between the RTPs of Cyberknife and Varian Eclipse using Mim medical imaging software. RESULTS: For PTV, no significant difference in D98 and D95 between the Cyberknife and Eclipse was observed (t = –0.35, –1.67, P > 0.05). The homogeneity indexes (HIs) of Cyberknife plans are higher (t = 71.86, P 0.05) than Varian Eclipse plans. CONCLUSION: To fulfill SBRT by non-coplanar radiation, Cyberknife is recommended for the institutions equipped with Cyberknife, while Varian linac can be applied for the institutions that have not adopted Cyberknife in clinical radiotherapy yet.
- Published
- 2021
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