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J Thorac Dis. 2018 Aug;10(Suppl 21):S2437-S2450. doi: 10.21037/jtd.2018.01.155.

Advances in the use of motion management and image guidance in radiation therapy treatment for lung cancer.

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Department of Radiation Oncology, University of Maryland School of Medicine, Baltimore, MD, USA.
Department of Radiation Oncology, Maryland Proton Treatment Center, University of Maryland, Baltimore, MD, USA.


The development of advanced radiation technologies, including intensity-modulated radiation therapy (IMRT), stereotactic body radiation therapy (SBRT) and proton therapy, has resulted in increasingly conformal radiation treatments. Recent evidence for the importance of minimizing dose to normal critical structures including the heart and lungs has led to incorporation of these advanced treatment modalities into radiation therapy (RT) for non-small cell lung cancer (NSCLC). While such technologies have allowed for improved dose delivery, implementation requires improved target accuracy with treatments, placing increasing importance on evaluating tumor motion at the time of planning and verifying tumor position at the time of treatment. In this review article, we describe issues and updates related both to motion management and image guidance in the treatment of NSCLC.


Radiation; carcinoma, non-small cell lung cancer (NSCLC); image guidance; motion management; proton therapy

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Conflicts of Interest: The authors have no conflicts of interest to declare.

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