Review Article

Proton-Based Stereotactic Ablative Radiotherapy in Early-Stage Non-Small-Cell Lung Cancer

Table 1

Dosimetric reduction in normal tissue radiation for proton- versus photon-based SABR plans.

Author, referenceNumber of plans compared ( )Total dose, GyE (dose per fraction)Lung reduction from protonsEsophagus reduction from protons

Hoppe et al., [25]1648 (12)Mean dose 2.2 GyE
V5, 10.4%* 
V10, 6.4%
V20, 2.1%

Seco et al., [26]2042 (14)V5, 37.8%Maximum dose, 68%

Georg et al., [27]3645 (15)V20, PSPT, 7–9%
V20, IMPT, >10%

Register et al., [6]4550 (12.5)Mean dose, 50%

Kadoya et al., [29]2166 (6.6)Mean dose 2.8 GyE
V5, 18.8%
V10, 10.4%
V20, 2.3%

: percentage of structure volume receiving ≥X GyE. PSPT: passively scattered proton therapy. IMPT: intensity-modulated proton therapy.