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Re-Treating Lung Cancer with Radiotherapy Is Effective

By MedImaging International staff writers
Posted on 21 May 2014
An old concept of re-treating lung tumors with radiation is now being reevaluated, particularly with the latest technologic developments experienced in radiation oncology over the last10 years.

The Comprehensive Cancer Center of Wake Forest Baptist Medical Center (Winston-Salem, NC, USA) is one of only several cancer centers in the United States that is attempting to give lung cancer patients out of treatment alternatives to keep the cancer from reappearing. For these patients, hope lies in a second course of treatment--repeat radiation. Two complementary articles published in the March 2014 issue of the journal Radiotherapy and Oncology and the April 2014 issue of the Journal of Thoracic Oncology described the treatment success at Wake Forest Baptist.

“One of the toughest challenges of lung cancer is what to do for patients when the cancer comes back in an area that’s been treated previously with radiation treatment,” said James J. Urbanic, MD, lead author of the studies and a radiation oncologist at Wake Forest Baptist. “With some of the technological advances in radiation treatments that have occurred in the last 5 to 10 years, we’re beginning to re-look at the issue and ask—can we target the radiation precisely enough and with a high enough dose to knock the cancer back?”

According to Dr. Urbanic, the overall findings of the study suggest that there are some patients with recurrent lung tumors who can be treated with another definitive course of radiation therapy and still have a probability of a cure. “At many cancer treatment centers, these patients only get chemotherapy and have no chance at definitive treatment. The goal of treatment is solely to prevent or delay symptoms from developing and they are seen as incurable,” he said. “But with re-irradiation, our study shows that maybe we can give a curative intent treatment that we couldn’t do in the past. It’s a layer of hope for some patients that they never had before.”

The researchers reviewed 11 years of clinical research for the study. Eighty-six patients were identified who received at least two sequences of thoracic radiotherapy. Of that number, 33 were treated with repeat thoracic radiotherapy using stereotactic body radiation therapy (SBRT) or accelerated hypofractionated radiotherapy (AHRT), as a component of their treatment. The median age was 66 and the majority of patients (88%) were treated for primary lung cancer. The median tumor size at retreatment was 2.5 cm. Earlier lung resections had been performed in 24% of patients.

Dr. Urbanic noted that the typical patient is an older man or woman who got treated with either chemotherapy and radiation or radiation by itself for a lung cancer that could not be surgically removed. They have returned for a checkup and feel well, but a computed tomography (CT) scan shows that the cancer has returned in the area earlier treated. If the cancer is just in one area, the patients get retreated with 10 radiation treatments done with the SBRT technique which is tightly targeted to just the tumor and minimizes the dose to the neighboring healthy tissue.

“Wake Forest Baptist has been developing expertise in doing this,” Dr. Urbanic said. “We’re finding that there are patients who are alive years later. We have seen relatively modest toxicity and a good ability to try and control the disease upwards of 70% of the time.”

However, there is a higher risk of injury involved when someone is radiated a second time which is why other cancer treatment center programs might be reluctant to adopt the practice, Dr. Urbanic reported. “This is a fairly niche effort in lung cancer care, and we’d like to see a national level clinical trial at some point,” Dr. Urbanic said. “The technology has gotten to the point where I think it’s going to allow radiation oncologists to reassess their ability so that maybe they can take risks they weren’t willing to take before. Eventually, this practice will become more widespread.”

Related Links:

Comprehensive Cancer Center of Wake Forest Baptist Medical Center 


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89 (92.029571533203): 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`
90 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1
91 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1
92 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
105 (57.220458984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
106 (62.942504882812): 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=294752564 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
107 (55.074691772461): 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=294752564 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
109 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
110 (72.002410888672): 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=294752564 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
111 (614.88151550293): 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=294752564 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (644.92225646973): 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
113 (403.88107299805): 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
114 (154.01840209961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
115 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
116 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
117 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
118 (124.93133544922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
119 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
120 (362.87307739258): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
121 (!!!!! 24667.024612427): 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
122 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
123 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
124 (!!!!! 1970.0527191162): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752564 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752564 AND type='deeppockets_item' AND published='1' LIMIT 1
125 (!!!!! 555522.91870117): ( 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
126 (68.902969360352): ( 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
127 (38.862228393555): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1
128 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1
129 (62.942504882812): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1
130 (34.093856811523): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1
131 (32.901763916016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1
132 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1
133 (546.21696472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
134 (451.08795166016): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
135 (38.14697265625): SELECT name FROM jos_deeppockets WHERE id=213
136 (28.848648071289): SELECT name FROM jos_deeppockets WHERE id=213
137 (437.02125549316): 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((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
138 (351.90582275391): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
139 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
140 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
141 (!!!!! 13294.93522644): TRUNCATE TABLE jos_trademed_module
142 (116.10984802246): 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=294752564 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
143 (75.817108154297): 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=294752564 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
144 (590.08598327637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
145 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
146 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
147 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
148 (!!!!! 1687.0498657227): 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
149 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
150 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
151 (46.968460083008): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752564 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752564 AND type='deeppockets_item' AND published='1' LIMIT 1
152 (36.001205444336): 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)
153 (32.901763916016): 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)
154 (35.04753112793): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
155 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
156 (52.213668823242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752564 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752564 AND published='1' LIMIT 1
157 (36.001205444336): select jos_twitters.link from jos_twitters where cat=10
158 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10
159 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10
160 (28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10
161 (293.97010803223): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)
162 (!!!!! 1293.8976287842): insert into jos_banners_delta values (14615,'2025-06-19 05:52:02','216.73.216.120','view'),(14202,'2025-06-19 05:52:02','216.73.216.120','view'),(14203,'2025-06-19 05:52:02','216.73.216.120','view')