Early stage NSCLC SBRT/hypofrac

Wanted to review how you guys would approach this Got an elderly guy, GOLD 4 COPD, FVC 1.8L, 45% predicted, FEV1 860cc, 28% predicted, FEV1/FVC ratio 47%, with a peripheral early stage NSCLC, about 1.5cm, close to the chest wall, biopsy proven, PET negative, MRI brain negative. No matter what we did, tumor movement was 2cm+ on 4D, even after re-sim, plate/belt, education, etc. I've heard off hand that if movement >1cm you should not do SBRT, others say it is OK if it is a small target... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums