2017_SBRT_Course Book

When is SBRT appropriate for medically inoperable patients with T1-2, N0 NSCLC Statement Consensus

Multiple primaries: Ø Evaluate in a MD team Ø FDG-PET and cMRI recommended

94%

Ø Synchronous primaries: SBRT may be considered Ø Metachronous primaries: SBRT recommended

Second primary after pneumonectomy: Ø SBRT may be considered

94%

ESTRO SBRT COURSE 2017

07.09.17

29

/

Technical challenges in “high-risk” clinical scenarios Statement Consensus Close to proximal bronchial tree: Ø 4-5 fractions recommended Ø Adherence to DVH constraints of prospective trials 83% Close to esophagus: Ø Adherence to DVH constraints of prospective trials 94% Close to heart & pericardium: Ø 4-5 fractions recommended Ø Adherence to DVH constraints of prospective trials 83% Abutting or invading chest wall: Ø SBRT appropriate 94%

ESTRO SBRT COURSE 2017

07.09.17

30

/