ArticleFrontiers in oncology2026
Four-dimensional computed tomography ventilation imaging-guided radiotherapy planning in different techniques for lung cancer.
Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: This simulation study aims to integrate four-dimensional computed tomography (4DCT) ventilation imaging into functional planning using different radiotherapy (RT) techniques and compare the dosimetric differences across these techniques. Methods: 4DCT ventilation images from eighteen lung cancer patients were created using Jacobian values obtained via deformable image registration and a ventilation imaging algorithm. For each patient, we designed both anatomical and functional plans using intensity-modulated radiotherapy (IMRT), hybrid IMRT (static plus IMRT beams treated concurrently), and volumetric modulated arc therapy (VMAT). Dosimetric parameters were systematically compared, with particular attention to the functional lung (FL) radiation dose. Results: The results showed that regardless of the RT technique (IMRT, hybrid IMRT, or VMAT), functional planning reduced fV Conclusion: Compared with anatomical planning, functional planning reduces the radiation dose to the FL while preserving target dose coverage and meeting dose constraints for OARs. Among the RT techniques for functional planning, f-VMAT may serve as the preferred technique.
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