Advances in the use of motion management and image guidance in radiation therapy treatment for lung cancer

Jason K Molitoris; Tejan Diwanji; James W Snider 3rd; Sina Mossahebi; Santanu Samanta; Shahed N Badiyan; Charles B Simone 2nd; Pranshu Mohindra

doi:10.21037/jtd.2018.01.155

Advances in the use of motion management and image guidance in radiation therapy treatment for lung cancer

J Thorac Dis. 2018 Aug;10(Suppl 21):S2437-S2450. doi: 10.21037/jtd.2018.01.155.

Authors

Jason K Molitoris¹, Tejan Diwanji¹, James W Snider 3rd^{1

2}, Sina Mossahebi^{1

2}, Santanu Samanta², Shahed N Badiyan^{1

2}, Charles B Simone 2nd^{1

2}, Pranshu Mohindra^{1

2}

Affiliations

¹ Department of Radiation Oncology, University of Maryland School of Medicine, Baltimore, MD, USA.
² Department of Radiation Oncology, Maryland Proton Treatment Center, University of Maryland, Baltimore, MD, USA.

Abstract

The development of advanced radiation technologies, including intensity-modulated radiation therapy (IMRT), stereotactic body radiation therapy (SBRT) and proton therapy, has resulted in increasingly conformal radiation treatments. Recent evidence for the importance of minimizing dose to normal critical structures including the heart and lungs has led to incorporation of these advanced treatment modalities into radiation therapy (RT) for non-small cell lung cancer (NSCLC). While such technologies have allowed for improved dose delivery, implementation requires improved target accuracy with treatments, placing increasing importance on evaluating tumor motion at the time of planning and verifying tumor position at the time of treatment. In this review article, we describe issues and updates related both to motion management and image guidance in the treatment of NSCLC.

Keywords: Radiation; carcinoma, non-small cell lung cancer (NSCLC); image guidance; motion management; proton therapy.

Publication types

Review