Highlights
- •To describe the future challenges of lung SBRT planning.
- •To analyze the features to be accounted for performing the best planning solution.
- •To show the technological solutions for treating it in a safety way.
Abstract
Emerging data are showing the safety and the efficacy of Stereotactic Body Radiation
therapy (SBRT) in lung cancer management. In this context, the very high doses delivered
to the Planning Target Volume, make the planning phase essential for achieving high
dose levels conformed to the shape of the target in order to have a good prognosis
for tumor control and to avoid an overdose in relevant healthy adjacent tissue. In
this non-systematic review we analyzed the technological and the physics aspects of
SBRT planning for lung cancer. In particular, the aims of the study were: (i) to evaluate
prescription strategies (homogeneous or inhomogeneous), (ii) to outline possible geometrical
solutions by comparing the dosimetric results (iii) to describe the technological
possibilities for a safe and effective treatment, (iv) to present the issues concerning
radiobiological planning and the automation of the planning process.
Keywords
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Article info
Publication history
Published online: May 26, 2017
Accepted:
May 22,
2017
Received in revised form:
May 19,
2017
Received:
October 3,
2016
Identification
Copyright
© 2017 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.
