Intensity-modulated radiation therapy (IMRT) for inoperable non-small cell lung cancer: The Memorial Sloan-Kettering Cancer Center (MSKCC) experience Journal Article


Authors: Sura, S.; Gupta, V.; Yorke, E.; Jackson, A.; Amols, H.; Rosenzweig, K. E.
Article Title: Intensity-modulated radiation therapy (IMRT) for inoperable non-small cell lung cancer: The Memorial Sloan-Kettering Cancer Center (MSKCC) experience
Abstract: Introduction: Intensity-modulated radiation therapy (IMRT) is an advanced treatment delivery technique that can improve the therapeutic dose ratio. Its use in the treatment of inoperable non-small cell lung cancer (NSCLC) has not been well studied. This report reviews our experience with IMRT for patients with inoperable NSCLC. Methods and materials: We performed a retrospective review of 55 patients with stage I-IIIB inoperable NSCLC treated with IMRT at our institution between 2001 and 2005. The study endpoints were toxicity, local control, and overall survival. Results: With a median follow-up of 26 months, the 2-year local control and overall survival rates for stage I/II patients were 50% and 55%, respectively. For the stage III patients, 2-year local control and overall survival rates were 58% and 58%, respectively, with a median survival time of 25 months. Six patients (11%) experienced grade 3 acute pulmonary toxicity. There were no acute treatment-related deaths. Two patients (4%) had grade 3 or worse late treatment-related pulmonary toxicity. Conclusions: IMRT treatment resulted in promising outcomes for inoperable NSCLC patients. © 2008 Elsevier Ireland Ltd. All rights reserved.
Keywords: cancer survival; treatment outcome; survival rate; retrospective studies; major clinical study; overall survival; intensity modulated radiation therapy; cancer staging; follow up; neoplasm staging; lung toxicity; lung non small cell cancer; carcinoma, non-small-cell lung; lung neoplasms; radiotherapy dosage; tomography, x-ray computed; retrospective study; survival time; intensity-modulated radiotherapy; radiotherapy, intensity-modulated; local control; inoperable cancer; non-small cell lung cancer; inoperable lung non small cell cancer
Journal Title: Radiotherapy and Oncology
Volume: 87
Issue: 1
ISSN: 0167-8140
Publisher: Elsevier Inc.  
Date Published: 2008-04-01
Start Page: 17
End Page: 23
Language: English
DOI: 10.1016/j.radonc.2008.02.005
PUBMED: 18343515
PROVIDER: scopus
PMCID: PMC2722446
DOI/URL:
Notes: --- - "Cited By (since 1996): 29" - "Export Date: 17 November 2011" - "CODEN: RAOND" - "Source: Scopus"
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MSK Authors
  1. Sonal Sura
    6 Sura
  2. Vishal Gupta
    8 Gupta
  3. Andrew Jackson
    253 Jackson
  4. Ellen D Yorke
    450 Yorke
  5. Howard I Amols
    157 Amols