Journal article

Dosimetric consequences of 3D versus 4D PET/CT for target delineation of lung stereotactic radiotherapy

S Siva, B Chesson, JW Callahan, N Hardcastle, L Crawford, P Antippa, G Wright, MP Macmanus, RJ Hicks, T Kron, DL Ball

Journal of Thoracic Oncology | ELSEVIER SCIENCE INC | Published : 2015

Abstract

Introduction: Lung tumor delineation is frequently performed using 3D positron emission tomography (PET)/computed tomography (CT), particularly in the radiotherapy treatment planning position, by generating an internal target volume (ITV) from the slow acquisition PET. We investigate the dosimetric consequences of stereotactic ablative body radiotherapy (SABR) planning on 3D PET/CT in comparison with gated (4D) PET/CT. Methods: In a prospective clinical trial, patients with lung metastases were prescribed 26 Gy single-fraction SABR to the covering isodose. Contemporaneous 3D PET/CT and 4D PET/CT was performed in the same patient position. An ITV was generated from each data set, with the pla..

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