Overview
To investigate the effect of escalation of radiation dose to tumor and lymph nodes based on an inhomogeneous dose distribution controlled by FDG-PET positive areas compared to a standard homogeneous dose spread
Description
To investigate the effect of escalation of radiation dose to tumor and lymph nodes based on an inhomogeneous dose distribution controlled by FDG-PET-positive areas compared to a standard homogeneous dose spread.
Eligibility
Inclusion Criteria:
- Patients with histologically or cytologically proven locally advanced NSCLC stage IIB to IIIB
- Performance status 0-1
- Able to comply with treatment and follow study and follow-up procedures
- Women must have negative pregnancy test
- Signed, informed consent
- Plan for radiotherapy with conventional 66 Gy/ 33 F, which meets all dosing limits two normal tissue must be available
Exclusion Criteria:
- Any unstable systemic disorder (including infection , unstable angina, congestive heart failure , severe liver , kidney or metabolic disease)
- Need for nasal oxygen
- Former thoracic radiotherapy, unless there is no significant overlap with previous fields
- Any other active malignant disease
- Unable to take oral medications or needing intravenous nutrition
- Ulcer
- Nursing women