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Abstract

Surgery is the treatment of choice in patients with early-stage non-small cell lung cancer (NSCLC). However, in patients who are medically inoperable or refuse to undergo surgery, radiotherapy (RT) is the alternative option. Although studies with conventional RT have revealed unsatisfactory results, stereotactic ablative RT (SABR) offers similar survival and disease control rates with surgery. Several dose-fractionation schemes have been studied, and the most important issue is to keep the biologically equivalent dose (BED) ≥100 when α/β is 10. Central and large lung tumors deserve extra caution while treating with SABR because of increased toxicity and decreased local control, respectively.

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Ozyigit, G., Sari, S.Y., Yazici, G., Hurmuz, P., Gultekin, M. (2016). Stereotactic Ablative Radiotherapy for Lung Cancers. In: Ozyigit, G., Selek, U., Topkan, E. (eds) Principles and Practice of Radiotherapy Techniques in Thoracic Malignancies. Springer, Cham. https://doi.org/10.1007/978-3-319-28761-4_5

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