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79 patients at high-risk of RP (2008-2011)

PTV > 100cc

70 pts

Previous pneumectomy / bi-lobectomy 13 pts (10 / 3)

Reasons for ineligiblity for standard treatment options

Co-morbidity 84.3%

Patients refusal 15.7%

Use of RapidArc and AAA planning algorithm

Aim: Identify dosimetric predictors for pneumonitis (RP)

Risks of Grade 3 radiation pneumonitis

Bongers E, Radioth Oncol 2013