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Semin intervent Radiol 2013; 30(02): 185-190
DOI: 10.1055/s-0033-1342960
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Radiation Therapy for Early Stage Lung Cancer

Bhupesh Parashar
1   Stich Radiation Center, Weill Cornell Medical Center, New York, New York
,
Shruthi Arora
1   Stich Radiation Center, Weill Cornell Medical Center, New York, New York
,
A. Gabriella Wernicke
1   Stich Radiation Center, Weill Cornell Medical Center, New York, New York
› Author Affiliations
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Publication History

Publication Date:
28 May 2013 (online)

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Abstract

Radiation therapy for early stage lung cancer is a promising modality. It has been traditionally used in patients not considered candidates for standard surgical resection. However, its role has been changing rapidly since the introduction of new and advanced technology, especially in tumor tracking, image guidance, and radiation delivery. Stereotactic radiation therapy is one such advancement that has shown excellent local control rates and promising survival in early stage lung cancer. In addition, the toxicity profiles are quite favorable. In addition to stereotactic radiation, advances in brachytherapy techniques have enabled high local control rates in operable patients who receive sublobar resections due to compromised pulmonary function. Isotopes that have been used include iodine-125, palladium-103, and cesium-131. In this review article, the role of radiation therapy in treatment of lung cancer, patient selection, outcomes, toxicity and recent technological advancements are discussed. The radiation therapy techniques described in this article are also being used in the management of locally advanced lung cancers.

Keywords

stereotactic - HDR - LDR - radiation - lung - lung cancer
 

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