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Do you have different hotspot and heterogeneity goals for SBRT of ground glass lesions vs more solid adenocarcinoma NSCLC lesions?

E.g. higher central hotspot in solid lesions? Any data on differences in toxicity?
1 Answer
Mednet Member
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Radiation Oncology · Cleveland Clinic
Answered on

I would base my hot-spot goals more on lesion location and geometry than on appearance or other clinical factors.

For a purely peripheral lesion, the planning focus is on conformality, and with an FFF beam allowing a high central hot spot by asking the planning algorithm to focus only on rapid fall-o...

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