180 / 1578
/
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
Ø
Synchronous primaries: SBRT may be considered
Ø
Metachronous primaries: SBRT recommended
94%
Second primary after pneumonectomy:
Ø
SBRT may be considered
94%
07.09.17
ESTRO SBRT COURSE 2017
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%
07.09.17
ESTRO SBRT COURSE 2017
30