Results from a long-term secondary analysis of the NRG Oncology-RTOG 0617 Phase III study, with a median follow-up of 5.2 years, revealed that patients receiving IMRT had a more than two-fold reduction in severe lung inflammation compared to those who received 3D-conformal radiotherapy , 3.5% versus 8.2%.
IMRT spared more normal tissue than 3D-CRT, which translated into a clinically meaningful benefit to patients. Despite historical concerns of IMRT generating a low-dose radiation bath to a large area of normal lung tissue, we found no excess cancers, increased adverse events or survival detriment over the long term related to this approach." For decades, 3D-CRT has been the standard of care for locally advanced lung cancer when surgery is not an option.
Related StoriesAlthough patients treated with both techniques had similar survival rates, closer inspection of the data demonstrated a correlation between survival and radiation exposure to the heart. IMRT treatment plans achieved significantly lower cardiac radiation doses.
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