Mednet Logo
HomePulmonologyQuestion

Do more fractionated regimens reduce severe toxicity over SBRT in patients with ILD and early-stage NSCLC?

4
2 Answers
Mednet Member
Mednet Member
Radiation Oncology · UCLA | VA Greater Los Angeles Healthcare System

I personally think fewer fractions are safer, such as 30 Gy x 1 instead of 10 Gy x 5, for patients with advanced COPD or ILD. Why? It's because each time a burst of ionization events is delivered to pulmonary tissues, a wound is created that recruits an inflammatory response, which can exacerbate th...

Register or Sign In to see full answer

Mednet Member
Mednet Member
Radiation Oncology · Veterans Administration Hospital, Jackson,MS

We attempted to address the question of fractionation and dose in relation to lung function. Our study, published in the International Journal of Radiation Oncology, Biology, and Physics (Vol. 11, p. 528) and the British Journal of Cancer (Vol. 55, Suppl VII, pp. 324-326), involved using single, fra...

Register or Sign In to see full answer