Target migration from re-inflation of adjacent atelectasis during lung stereotactic body radiotherapy

Stereotactic body radiotherapy (SBRT) is a widely accepted option for the treatment of medically inoperable early-stage non-small cell lung cancer (NSCLC). Herein, we highlight the importance of interfraction image guidance during SBRT. We describe a case of early-stage NSCLC associated with segment...

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Autores principales: Mao, Bijing, Verma, Vivek, Zheng, Dandan, Zhu, Xiaofeng, Bennion, Nathan R, Bhirud, Abhijeet R, Poole, Maria A, Zhen, Weining
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5465022/
https://www.ncbi.nlm.nih.gov/pubmed/28638802
http://dx.doi.org/10.5306/wjco.v8.i3.300
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author Mao, Bijing
Verma, Vivek
Zheng, Dandan
Zhu, Xiaofeng
Bennion, Nathan R
Bhirud, Abhijeet R
Poole, Maria A
Zhen, Weining
author_facet Mao, Bijing
Verma, Vivek
Zheng, Dandan
Zhu, Xiaofeng
Bennion, Nathan R
Bhirud, Abhijeet R
Poole, Maria A
Zhen, Weining
author_sort Mao, Bijing
collection PubMed
description Stereotactic body radiotherapy (SBRT) is a widely accepted option for the treatment of medically inoperable early-stage non-small cell lung cancer (NSCLC). Herein, we highlight the importance of interfraction image guidance during SBRT. We describe a case of early-stage NSCLC associated with segmental atelectasis that translocated 15 mm anteroinferiorly due to re-expansion of the adjacent segmental atelectasis following the first fraction. The case exemplifies the importance of cross-sectional image-guided radiotherapy that shows the intended target, as opposed to aligning based on rigid anatomy alone, especially in cases associated with potentially “volatile” anatomic areas.
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spelling pubmed-54650222017-06-22 Target migration from re-inflation of adjacent atelectasis during lung stereotactic body radiotherapy Mao, Bijing Verma, Vivek Zheng, Dandan Zhu, Xiaofeng Bennion, Nathan R Bhirud, Abhijeet R Poole, Maria A Zhen, Weining World J Clin Oncol Case Report Stereotactic body radiotherapy (SBRT) is a widely accepted option for the treatment of medically inoperable early-stage non-small cell lung cancer (NSCLC). Herein, we highlight the importance of interfraction image guidance during SBRT. We describe a case of early-stage NSCLC associated with segmental atelectasis that translocated 15 mm anteroinferiorly due to re-expansion of the adjacent segmental atelectasis following the first fraction. The case exemplifies the importance of cross-sectional image-guided radiotherapy that shows the intended target, as opposed to aligning based on rigid anatomy alone, especially in cases associated with potentially “volatile” anatomic areas. Baishideng Publishing Group Inc 2017-06-10 2017-06-10 /pmc/articles/PMC5465022/ /pubmed/28638802 http://dx.doi.org/10.5306/wjco.v8.i3.300 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Case Report
Mao, Bijing
Verma, Vivek
Zheng, Dandan
Zhu, Xiaofeng
Bennion, Nathan R
Bhirud, Abhijeet R
Poole, Maria A
Zhen, Weining
Target migration from re-inflation of adjacent atelectasis during lung stereotactic body radiotherapy
title Target migration from re-inflation of adjacent atelectasis during lung stereotactic body radiotherapy
title_full Target migration from re-inflation of adjacent atelectasis during lung stereotactic body radiotherapy
title_fullStr Target migration from re-inflation of adjacent atelectasis during lung stereotactic body radiotherapy
title_full_unstemmed Target migration from re-inflation of adjacent atelectasis during lung stereotactic body radiotherapy
title_short Target migration from re-inflation of adjacent atelectasis during lung stereotactic body radiotherapy
title_sort target migration from re-inflation of adjacent atelectasis during lung stereotactic body radiotherapy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5465022/
https://www.ncbi.nlm.nih.gov/pubmed/28638802
http://dx.doi.org/10.5306/wjco.v8.i3.300
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