What target expansions do you use when treating with 60 Gy in 15 fractions for the lung?

Answer from: Radiation Oncologist at Academic Institution

Is CTV needed with hypofractionated radiotherapy, such as 60 Gy in 15 fractions for stage III NSCLC, in the modern era of IGRT? Reducing the irradiated volume is crucial for improving the therapeutic ratio for locally advanced NSCLC (LA-NSCLC) patients. Technological advancements in radiotherapy ta...

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Radiation Oncologist at Mon Health
Are you recommending 60 Gy in 15 fractions with co...

Radiation Oncologist at University of Texas MD Anderson Cancer Center
There is some research on this topic, with prelimi...

Radiation Oncologist at University of Texas at Tyler
CALGB 31102 looked at concurrent systemic therapy ...

Radiation Oncologist at Mallory Radiotherapy, PLLC
There are no hypofractionated options in the NCCN ...

Radiation Oncologist at University of Texas at Tyler
Phase 3 Norwegian data addressing a 3-week course ...

Answer from: Radiation Oncologist at Community Practice

I skip the CTV and go straight to the PTV, which can be as tight as 5 mm and up to 10 mm if there are off-axis setup or CBCT imaging concerns. I don't use this fractionation with concurrent chemotherapy, and only do so when chemotherapy is omitted or delivered sequentially.

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What target expansions do you use when treating with 60 Gy in 15 fractions for the lung?

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