Stereotactic radiosurgery for lung tumors: preliminary report of a phase I trial Richard I Whyte, MD, Richard Crownover, MD, PhD, Martin J Murphy, PhD,

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Presentation transcript:

Stereotactic radiosurgery for lung tumors: preliminary report of a phase I trial Richard I Whyte, MD, Richard Crownover, MD, PhD, Martin J Murphy, PhD, David P Martin, MD, Thomas W Rice, MD, Malcolm M DeCamp, MD, Raymond Rodebaugh, PhD, Martin S Weinhous, PhD, Quynh-Thu Le, MD The Annals of Thoracic Surgery Volume 75, Issue 4, Pages 1097-1101 (April 2003) DOI: 10.1016/S0003-4975(02)04681-7

Fig 1 CyberKnife stereotactic radiation system demonstrating a robotically mounted linear accelerator, one (of two) ceiling-mounted x-ray localizing sources, and two table-mounted image localizing detectors. The simulated patient head is immobilized with a custom-fitted face mask, while a plastic body cradle is used for stabilization of the torso when lung tumors are treated. The Annals of Thoracic Surgery 2003 75, 1097-1101DOI: (10.1016/S0003-4975(02)04681-7)

Fig 2 Variation in position of fiducials during single stereotactic radiosurgery treatment. In any given direction, the targets move a maximum of 3.8 mm. The Annals of Thoracic Surgery 2003 75, 1097-1101DOI: (10.1016/S0003-4975(02)04681-7)

Fig 3 Chest radiograph of patient showing a right upper lobe lung nodule with four fiducials placed into or near the tumor (arrow points to one of the fiducials). The Annals of Thoracic Surgery 2003 75, 1097-1101DOI: (10.1016/S0003-4975(02)04681-7)

Fig 4 Computed tomography–generated isodose curves for right upper lobe tumor demonstrated in Figure 3. The dark red curve marks the 1,500-cGy curve; each curve represents an increment of 500 cGy. The Annals of Thoracic Surgery 2003 75, 1097-1101DOI: (10.1016/S0003-4975(02)04681-7)

Fig 5 Three-dimensional representation of beam paths directed to right upper lobe tumor depicted in Figure 3. The point of view is from the lower, right side of the patient. The Annals of Thoracic Surgery 2003 75, 1097-1101DOI: (10.1016/S0003-4975(02)04681-7)