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Type: Artigo de periódico
Title: Comparison Between Irradiated Lung Volumes With Two-dimensional And Three-dimensional Conformal Radiotherapy Techniques For Locally Advanced Lung Cancer [comparação Entre Os Volumes Pulmonares Irradiados Com Técnica Bidimensional E Tridimensional Conformada Na Radioterapia De Pacientes Com Tumores De Pulmão Localmente Avançados]
Author: Carvalho H.A.
de Sales C.P.
Stuart S.R.
Gil E.
Nunes A.C.N.
Ferauche D.C.
Abstract: Objective: To compare and quantify irradiated lung volumes using two-dimensional (2D) and three-dimensional (3D) conformal planning for radiotherapy in the treatment of lung cancer. Materials and Methods: 2D and 3D conformal radiotherapy plannings were performed for 27 patients with lung cancer. Prescribed doses ranged from 45 to 66 Gy. The analysis covered the doses to planning target volume (PTV), gross tumor volume (GTV) and lungs (lung volume receiving 20 Gy or 30 Gy - V20 and V30, respectively, and mean dose). The doses to adjacent organs at risk (spinal cord, esophagus and heart) were maintained below the tolerance limits. Results: GTV ranged from 10.5 to 1,290.0 cm3 (mean, 189.65 cm3). On average, a total of 59.33 fields were utilized in the 2D planning and 75.65 fields in the 3D planning. Lung volumes were significantly preserved (P < 0.05) with the 3D conformal planning in all the evaluated cases, with about 15% decrease in the irradiated lung volumes. Lungs without tumor were most benefited from this technique. Conclusion: 3D radiotherapy allowed a better sparing of the lungs, both in cases of early and advanced tumors. 3D radiotherapy should be used in the treatment of patients with lung cancer, even in cases of large tumors. © Colégio Brasileiro de Radiologia e Diagnóstico por Imagem.
Rights: aberto
Identifier DOI: 
Date Issue: 2009
Appears in Collections:Unicamp - Artigos e Outros Documentos

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