Gated Radiation to Lung

Portal Forums Radiation Oncology Chest Radiation Gated Radiation to Lung

This topic contains 2 replies, has 3 voices, and was last updated by catdander forum moderator catdander forum moderator 2 years, 6 months ago.

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December 3, 2015 at 7:59 am  #1272001    


Perhaps a radiation oncologist will help with this question. I have been recommended to have SRT radiation to my lung tumor, lateral left upper lobe, 2.8 cm. The radiologist I have met with only does this type of radiation on Tuesdays and Thursdays, and he said I may need 3 to 5, or up to 10 treatments. (This schedule seems dragged out.) I have read of “gated radiation” whereby the breathing motion is factored in to the radiation treatment and can “save” surrounding healthy tissue from radiation. This is my question: Is gated radiation superior, or is collateral damage to nearby healthy tissue common and expected, accepted, and why is it not commonly used? does gated radiation require a special type of radiation machinery? How do I go about finding centers that have radiologists and this type of gated radiation treatment? (Is gated radiation used at Swedish?) I live in North Carolina, so have access to Chapel Hill, Duke, etc.but couldn’t find anything about this on their websites. Thank you.

December 4, 2015 at 4:25 am  #1272010    
JimC Forum Moderator
JimC Forum Moderator

Hi southsidegirl,

I think you’re having trouble finding information because gated radiation therapy, which does require specialized equipment, has not been implemented at a large number of radiation centers. The following link briefly discusses a study in which it was found that in most patients the benefit from its use was minimal when compared to existing methods:

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Jul 2008 Wife Liz (51/never smoker) Dx Stage IV NSCLC EGFR exon 19
4 cycles Carbo/alimta, 65% shrinkage
Tarceva maintenance
Mar 2010 progression, added Alimta, stable
Sep 2010 multiple brain mets, WBR
Oct 2010 large pericardial effusion, tamponade
Jan 2011 progression, start abraxane
Jun 2011-New liver, brain mets, add Tarceva
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At rest Nov 4 2011
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December 4, 2015 at 10:30 am  #1272013    
catdander forum moderator
catdander forum moderator

Hi Southside, I just commented on another thread you asked a question on. Just an FYI, Dr. Weiss, the oncologist in the video I linked and commented on is at NCU in Chapel Hill, It would be simple enough to see if you can get an appointment with him as a 2nd opinion on the subject. I know I would.

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