Justin D. Blasberg, MD, Scott J. Belsley, MD, Gary S

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Robotic Brachytherapy and Sublobar Resection for T1 Non-Small Cell Lung Cancer in High-Risk Patients Justin D. Blasberg, MD, Scott J. Belsley, MD, Gary S. Schwartz, MD, Andrew Evans, MD, Iddo Wernick, PhD, Robert C. Ashton, MD, Faiz Y. Bhora, MD, Cliff P. Connery, MD The Annals of Thoracic Surgery Volume 89, Issue 2, Pages 360-367 (February 2010) DOI: 10.1016/j.athoracsur.2009.09.052 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Dosimetric distribution of 125I seeds sewn intracorporeally over the margins of thoracoscopically resected lung cancer in close proximity to vertebrae. Note the limited radiation field surrounding the resection bed. The thick red line shows the contoured planning target volume (PTV); the green dots in the images connote seeds identified on the dosimetric computed tomography scan; the remaining colored lines (isodose lines) surround regions containing minimum doses as a percent of the prescription dose: yellow = 80%; blue = 87%, aqua = 100%; red = 150%; and white = 175%. The Annals of Thoracic Surgery 2010 89, 360-367DOI: (10.1016/j.athoracsur.2009.09.052) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Chest radiography performed (A) in the immediate postoperative period and (B) at follow-up evaluation 2 years postoperatively for patient 6. Radioactive seeds maintained a fixed position without migration (arrows). The Annals of Thoracic Surgery 2010 89, 360-367DOI: (10.1016/j.athoracsur.2009.09.052) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Dosimetric computed tomography scan and (B) 2-year follow-up imaging of patient 6, demonstrating residual scar and stability of seed placement (arrows) with no evidence of disease recurrence. The Annals of Thoracic Surgery 2010 89, 360-367DOI: (10.1016/j.athoracsur.2009.09.052) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions