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Proton Therapy Found to Be Safe and Effective for Early-Stage Lung Cancer Patients

By MedImaging International staff writers
Posted on 09 Nov 2010

Proton beam therapy is safe and effective and may be better than other conventional treatments for stage I inoperable non-small-cell lung cancer (NSCLC) patients.

These findings were published in the October 2010 issue of the International Journal of Radiation Oncology*Biology*Physics, the official journal of the American Society for Radiation Oncology (ASTRO).

Lung cancer is the number one cause of cancer death for men and women, according to the American Cancer Society. The standard treatment for early-stage lung cancer is surgery to remove all or part of the lung, but for patients with inoperable lung cancer, radiation is commonly used for treatment.

Researchers in Japan sought to determine if proton beam therapy was a good treatment option for patients with inoperable NSCLC versus traditional external beam radiation therapy and stereotactic body radiation therapy, which is a specialized type of external beam radiation therapy that uses focused radiation beams to target a well-defined tumor and relies on detailed imaging, computerized three-dimensional treatment planning and precise treatment setup to deliver the radiation dose with extreme accuracy.

Patients were treated with proton beam therapy from November 2001 to July 2008 with different doses given to peripherally located tumors and centrally located tumors. The two-year progression-free survival rates for those doses were 88.7% and 97%, respectively. The survival rate for stereotactic body radiotherapy is 54.7% at two years and the survival rates for conventional radiotherapy range from 6-31.4% at five years.

"Proton beam therapy is safe and effective, if not superior to other nonsurgical modalities, for treating patients with inoperable stage I NSCLC,” said Hidetsugu Nakayama, M.D., Ph.D., lead author of the study and a physician at the Proton Medical Research Center (Tsukuba, Ibaraki, Japan). "The randomized clinical trial that compares proton beam therapy with stereotactic body radiotherapy is needed to clarify survival benefit.”

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67 (274.8966217041): select jos_facebook.link from jos_facebook where cat=10

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69 (314.95094299316): select jos_linkedin.link from jos_linkedin where cat=10

70 (!!!!! 3535.0322723389): SELECT fid FROM jos_deeppockets WHERE id=294731969 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294731969 AND published='1' LIMIT 1

71 (818.01414489746): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

72 (782.96661376953): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731969 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (951.05171203613): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731969 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (319.9577331543): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

75 (956.05850219727): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (159.97886657715): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (206.94732666016): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (130.89179992676): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (189.06593322754): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (514.98413085938): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (162.83988952637): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (129.93812561035): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (204.08630371094): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (!!!!! 3304.9583435059): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731969 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (171.89979553223): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731969 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (108.00361633301): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

92 (530.95817565918): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 1031.1603546143): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (127.07710266113): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (129.93812561035): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (200.03318786621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

107 (314.95094299316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

108 (!!!!! 1765.9664154053): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294731969 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (!!!!! 1232.1472167969): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294731969 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 1246.9291687012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

111 (!!!!! 1311.0637664795): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

112 (291.10908508301): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294731969 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (991.1060333252): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294731969 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (!!!!! 1110.0769042969): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

115 (823.974609375): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

116 (!!!!! 1544.9523925781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

117 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

118 (!!!!! 6759.8819732666): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

119 (!!!!! 2374.8874664307): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

120 (!!!!! 1827.0015716553): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

121 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

122 (533.10394287109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

123 (601.05323791504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

124 (!!!!! 4229.0687561035): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 57991.027832031): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

126 (!!!!! 1476.0494232178): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731969 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731969 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (55.789947509766): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

128 (46.014785766602): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

129 (45.061111450195): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

130 (249.86267089844): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

131 (977.99301147461): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

132 (47.922134399414): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

133 (31.948089599609): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

134 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

135 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

136 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

137 (!!!!! 6858.8256835938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (!!!!! 5585.9088897705): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (!!!!! 2114.0575408936): SELECT name FROM jos_deeppockets WHERE id=213

140 (!!!!! 7995.8438873291): SELECT name FROM jos_deeppockets WHERE id=213

141 (!!!!! 5202.054977417): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (!!!!! 3033.8764190674): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (!!!!! 3472.8050231934): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

144 (122.0703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

145 (!!!!! 13154.029846191): TRUNCATE TABLE jos_trademed_module

146 (!!!!! 6883.1443786621): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294731969 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (!!!!! 11837.005615234): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294731969 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (584.12551879883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (!!!!! 1135.1108551025): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

151 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

152 (!!!!! 5559.9212646484): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

153 (!!!!! 4809.1411590576): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

154 (!!!!! 1277.9235839844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

155 (!!!!! 8635.9977722168): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731969 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731969 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (51.975250244141): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

157 (!!!!! 1494.1692352295): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

158 (56.982040405273): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

160 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731969 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731969 AND published='1' LIMIT 1

161 (!!!!! 4522.0851898193): select jos_twitters.link from jos_twitters where cat=10

162 (!!!!! 2188.9209747314): select jos_facebook.link from jos_facebook where cat=10

163 (46.968460083008): select jos_google_plus.link from jos_google_plus where cat=10

164 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

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