Respiratory motion variability of primary tumors and lymph nodes during radiotherapy of locally advanced non-small-cell lung cancers

Nuzhat Jan, Geoffrey D. Hugo, Nitai Mukhopadhyay, Elisabeth Weiss

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Background and purpose: The need for target adjustment due to respiratory motion variation and the value of carina as a motion surrogate is evaluated for locally advanced non-small-cell lung cancer. Material and methods: Using weekly 4D CTs (with audio-visual biofeedback) of 12 patients, respiratory motion variation of primary tumors (PT), lymph nodes (LN) and carina (C) were determined. Results: Mean (SD) 3D respiratory motion ranges of PT, LN and C were 4 (3), 5 (3) and 5 (3) mm. PT and LN (p = 0.003), and LN and C motion range were correlated (p = 0.03). Only 20%/5% of all scans had variations >3mm/5mm. Large respiratory motion range on the initial scan was associated with larger during-treatment variations for PT (p = 0.03) and LN (p = 0.001). Conclusions: Motion reassessment is recommended in patients with large initial motion range. Relative motion-related displacements between PT and LN were larger than PT and LN motion alone. Both PT and C appear to be comparable surrogates for LN respiratory motion.

Original languageEnglish
Article number133
JournalRadiation Oncology
Volume10
Issue number1
DOIs
StatePublished - Jun 14 2015

Keywords

  • Lymph nodes
  • Non-small-cell lung cancer
  • Primary tumor
  • Respiratory motion

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