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Stereotactic Ablative Radiotherapy Used to Treat Early-Stage Lung Cancer in Operable as well as Inoperable Patients

By MedImaging International staff writers
Posted on 15 May 2012
Noninvasive stereotactic ablative radiotherapy (SABR), a radiosurgical application used in the body, has been shown to be a viable option for treating operable cases of early-stage lung cancer, with outcomes that compare favorably to more invasive surgery, according to new findings.

The study’s findings were published in the May 2012 issue of the International Journal of Radiation Oncology, Biology, Physics. Speaking at a symposium sponsored by Varian Medical Systems (Palo Alto, CA, USA) in Las Vegas, NV, USA, in April 2012, co-author Ben Slotman, M.D., Ph.D., of the VU University Medical Centre (Amsterdam, The Netherlands) reported that, for potentially operable patients with stage I non-small cell lung cancer (NSCLC), SABR generated tumor control rates that are comparable to those achieved using surgery.

Prof. Slotman and his colleagues retrospectively reviewed records for lung cancer patients who were treated in his department between 2003 and 2010. Among about 1,000 patients treated with SABR, the researchers identified 177 (101 males and 76 females) who could have been candidates for surgery but who instead received SABR.

“Among these patients, the one- and three-year survival rates were 95% and 85% respectively,” said Dr. Slotman. “The local tumor control rate after three years was 93%, and the median overall survival time was 61.5 months. No patients died in the first 30 days after treatment. Had these patients been treated surgically, we would have expected a 2.6% mortality rate, based on the Thoracoscore predictive model.”
Forty-two percent of patients in the study reported no early side effects with the SABR treatments. Those that did experience early side-effects experienced fatigue (25%), cough (14%), local chest wall pain (11%) and dyspnea (10%), with some patients reporting more than one side effect. Most side effects were mild. Late side effects of SABR consisted of radiation pneumonitis in two percent of patients and rib fractures in three percent of patients.

The study authors concluded that NSCLC patients with potentially operable disease who underwent SABR had an excellent outcome after SABR. “This finding supports ongoing randomized studies comparing surgery and SABR in patients with operable stage I NSCLC,” said Dr. Slotman.

In another presentation, Jeffrey Bradley, M.D., professor of radiation oncology at Washington University in St. Louis (MO, USA), provided an overview of a phase III randomized trial that is now accruing patients and will attempt to compare surgery with stereotactic body radiotherapy (SBRT) more systematically. SBRT is a term used interchangeably with SABR; both refer to a way of treating a tumor with a carefully shaped and precisely targeted high-energy radiation beam to damage tumor cell DNA and destroy the cancer cell. The trial is being jointly sponsored by the American College of Surgeons Oncology Group (ACOSOG) and by the Radiation Therapy Oncology Group (RTOG), two organizations that manage cancer treatment studies in the United States.
“The earlier side-by-side comparisons, such as the study by Dr. Slotman and his colleagues, have suggested that SBRT provides similar overall and cause-specific survival rates compared to surgery,” said Dr. Bradley. “However, these studies use non-randomized data and often compared a relatively healthy population of patients who had surgery with a less healthy, population treated using SBRT. The ACOSOG/RTOG trial seeks to balance the health of patients in both study arms to determine more definitively whether surgery and SBRT provide similar cure and toxicity rates. This is a very important study because it will help to define the optimal management of patients with early-stage lung cancer,” Dr. Bradley added.
The two clinical experts spoke in May 2012 to members of the American Radium Society at a satellite symposium that took place during the Society’s 94th annual meeting in Las Vegas, NV, USA.

Related Links:

Varian Medical Systems

VU University Medical Centre


Washington University in St. Louis




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85 (!!!!! 7725.0003814697): SELECT show_live FROM jos_com_show_setting LIMIT 1
86 (!!!!! 3460.8840942383): SELECT show_live FROM jos_com_show_setting LIMIT 1
87 (!!!!! 4980.8025360107): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
88 (!!!!! 1018.0473327637): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
89 (66.041946411133): 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 (!!!!! 5923.0327606201): SELECT show_live FROM jos_com_show_setting LIMIT 1
91 (106.0962677002): SELECT show_live FROM jos_com_show_setting LIMIT 1
92 (678.06243896484): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (263.92936706543): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (379.08554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (219.10667419434): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (829.93507385254): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (205.99365234375): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (315.90461730957): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (!!!!! 3171.9207763672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
105 (192.16537475586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
106 (546.93222045898): 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=294740607 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
107 (868.79730224609): 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=294740607 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (!!!!! 4165.8878326416): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
109 (374.07875061035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
110 (712.15629577637): 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=294740607 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
111 (853.06167602539): 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=294740607 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (854.9690246582): 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 (!!!!! 1245.0218200684): 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 (!!!!! 1086.950302124): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
115 (604.15267944336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
116 (!!!!! 1611.9480133057): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
117 (445.84274291992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
118 (!!!!! 2439.022064209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
119 (617.98095703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
120 (521.18301391602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
121 (299.93057250977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
122 (661.84997558594): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
123 (!!!!! 84577.083587646): 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
124 (!!!!! 2233.0284118652): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740607 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740607 AND type='deeppockets_item' AND published='1' LIMIT 1
125 (514.03045654297): ( 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 (897.88436889648): ( 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 (702.1427154541): 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
128 (129.93812561035): 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
129 (!!!!! 1338.005065918): 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
130 (447.98851013184): 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
131 (542.16384887695): 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
132 (66.041946411133): 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
133 (!!!!! 1307.9643249512): 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
134 (344.03800964355): 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
135 (!!!!! 2269.983291626): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
136 (!!!!! 1340.8660888672): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
137 (!!!!! 2212.0475769043): SELECT name FROM jos_deeppockets WHERE id=211
138 (711.91787719727): SELECT name FROM jos_deeppockets WHERE id=211
139 (!!!!! 1473.9036560059): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
140 (938.17710876465): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
141 (!!!!! 1306.0569763184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
142 (396.9669342041): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
143 (!!!!! 22153.13911438): TRUNCATE TABLE jos_trademed_module
144 (453.94897460938): 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=294740607 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
145 (657.08160400391): 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=294740607 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
146 (979.90036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
147 (!!!!! 2412.0807647705): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148 (!!!!! 1044.0349578857): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
149 (519.0372467041): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
150 (!!!!! 3193.8552856445): 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
151 (!!!!! 7729.0534973145): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
152 (674.00932312012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
153 (737.90550231934): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740607 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740607 AND type='deeppockets_item' AND published='1' LIMIT 1
154 (648.97537231445): 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=211 or channel_id is null)
155 (45.061111450195): 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=211 or channel_id is null)
156 (236.98806762695): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
157 (!!!!! 1514.9116516113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
158 (106.8115234375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740607 AND published='1' LIMIT 1
159 (!!!!! 2789.9742126465): select jos_twitters.link from jos_twitters where cat=10
160 (821.11358642578): select jos_facebook.link from jos_facebook where cat=10
161 (58.889389038086): select jos_google_plus.link from jos_google_plus where cat=10
162 (411.03363037109): select jos_linkedin.link from jos_linkedin where cat=10