176 / 1578
/
Treatment planning:
Fractionation
Institutional
specific
fractionations
Consensus fractionation BED10 of
consensus
fractionation
Peripheral
3 x 13.5Gy (n=2)
3 x 15Gy (n=1)
3 x 17Gy (n=1)
3 x 18Gy (n=2)
4 x 12 Gy (n=1)
3 x 15Gy
113Gy BED10
Broad chest wall
contact
3 x 13.5Gy (n=1)
3 x 15Gy (n=1)
3 x 17Gy (n=1)
4 x 12Gy (n=1)
5 x 9Gy (n=1)
5 x 11Gy (n=2)
4 x 12Gy
107 Gy BED10
Central
5 x 11Gy (n=1)
8 x 6 Gy (n=1)
8 x 7 Gy (n=1)
8 x 7.5 Gy (n=3)
11 x 5Gy (n=1)
8 x 7.5Gy
105 Gy BED10
•
Consensus for inoperable stage I NSCLC
•
Operable patients: MTD of 3 x 18Gy
07.09.17
ESTRO SBRT COURSE 2017
21
/
Image guidance
Mandatory Recommended Optional
Insufficient /
discouraged
Stereotactic set-up based on
external coordinate system
0
0
2
6
IGRT with Planar EPID imaging
only
0
0
0
8
IGRT with Planar kV imaging
w/o implanted markers only
1
0
0
7
IGRT with Planar kV imaging
with implanted markers only
1
0
6
0
IGRT with Volumetric imaging
6
1
1
0
IGRT with 4D Volumetric
imaging
0
7
2
0
•
Mandatory:
in-room 3D IGRT
•
Recommended:
in-room 4D IGRT
07.09.17
ESTRO SBRT COURSE 2017
22