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For early stage NSCLC to be treated with SBRT, is there any difference in the technology being used such as robotic v. linac based VMAT?

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Radiation Oncology · University of Washington School of Medicine

In my opinion, as long as the SBRT team can follow the principles and safety measures, there shouldn't be any difference in treatment outcomes and toxicities among different treatment devices for early stage NSCLC. In other words, the expertise of the team is much more important than the treatment d...

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Radiation Oncology · Christiana Care Health Services

I respectfully disagree with @Dr. First Last. In our experience, we can acheive much tighter plans using Cyberknife than with Linac based radiosurgery, probably due to the much higher number of beam angles being used and the use of real-time fiducial tracking rather than a 4-D integrated tumor volum...

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Radiation Oncology · University of Washington School of Medicine

I agree that there are certain aspects that robotic SBRT is better compared to LINAC-based SBRT for lung cancer. One drawback of the robotic radiosurgery system is the lack of volumetric verification prior to treatment. Occasionally, there is tumor growth seen in merely 2 weeks between CT simulation...

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