Incidental nodal irradiation in locally advanced non-small cell lung cancer treated with involved-field IMRT

Dr. Sharma is an assistant professor of radiation oncology, Department of Radiation Oncology, The Mount Sinai Medical Center, New York, NY. Dr. Zou and Dr. Christodouleas are assistant professors of radiation oncology, Department of Radiation Oncology, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA. Dr. Shepherd is an assistant professor of radiation oncology, Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, Basking Ridge, NJ. Dr. Whaley is a radiation oncologist, CHI Memorial Department of Radiation Oncology, Tennessee Oncology, Chattanooga, TN. Dr. Xanthopoulos is a resident, Department of Radiation Oncology, Columbia University College of Physicians and Surgeons, New York, NY. Dr. Both is an associate professor, Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY. Dr. Rengan and Dr. Apisarnthanarax are associate professors, Department of Radiation Oncology, University of Washington School of Medicine, Seattle, WA. Dr. Simone is an associate professor, Department of Radiation Oncology, University of Maryland School of Medicine, Baltimore, MD. Prior Presentation: American Society for Radiation Oncology (ASTRO), Boston, MA, October 28-31, 2012. American Society of Clinical Oncology (ASCO) Multidisciplinary Symposium in Thoracic Oncology, Chicago, IL September 6-8, 2012. Abstract Background: Studies using 3-dimensional conformal radiation therapy (3DCRT) show that elective nodal (EN) areas receive substantial incidental irradiation in non-small cell lung cancer (NSCLC) treated with involved-field radiation therapy (IFRT). Due to increasing use of intensity-modulated radiation therapy (IMRT), we performed a dosimetric analysis of 3DCRT vs. IMRT comparing EN incidental irradiation. Material and Methods: Twenty-three stage IIIA NSCLC patients treated with curative intent IMRT (median dose 72 Gy) were studied. Nodal stations 1-2, 3A, 3P, 4, 5, 6, and 7 were contoured. Comparative 3DCRT plans were generated. Mean dose, V40, V50 and V60 were compared for each station. Results: PTV V95 coverage was similar between 3DCRT and IMRT plans (p = 0.20). No significant differences in incidental irradiation were found except for contralateral 6 and ipsilateral station 5 nodes. For contralateral station 6, mean dose, V50 and V60 were less with IMRT than 3DCRT (43 Gy vs. 55 Gy, p = 0.01; 39% vs. 67%, p = 0.02; 14% vs. 58%, p = 0.002; respectively). IMRT also delivered less dose to ipsilateral station 5 compared to 3DCRT (mean 66 Gy vs. 71 Gy, p = 0.04). At a median follow up of 21 months, 6 patients (26%) had isolated locoregional recurrences, with only 1 patient (4%) having an isolated EN failure (station 5, supraclavicular) without intrathoracic progression. Conclusions: IFRT using IMRT delivers similar incidental irradiation doses as 3DCRT to EN stations and may be safely delivered without theoretical concern for increased EN failures. Caution should be noted when treating with IMRT if there is high risk for subclinical disease in levels 5 and 6.

T he standard of care in locally advanced non-small cell lung cancer (NSCLC) includes concurrent chemotherapy and radiation therapy (RT). 1,2Major improvements in radiation technology have led to significant changes in radiation delivery for NSCLC, including 3D-conformal radiation treatment (3DCRT) and intensity-modulated radiation therapy (IMRT).These technologies have enabled the delivery of more conformal radiation to spare normal surrounding tissue.
Historically, elective nodal irradiation (ENI) was employed in locally advanced NSCLC to reduce regional failures in the mediastinal lymph node (LN) regions. 3,4 APPLIED RADIATION ONCOLOGY www.appliedradiationoncology.com December 2017

INCIDENTAL NODAL IRRADIATION IN LOCALLY ADVANCED NON-SMALL CELL LUNG CANCER applied radiation oncology
[9][10] A major contributor to low nodal failure rates may be the clinically meaningful incidental irradiation to EN stations delivered with IFRT. 8,9,11,12However, studies on EN failure patterns to date have primarily utilized 3DCRT, and it is unclear whether these data are applicable to more advanced modalities like IMRT.
][15][16][17] Furthermore, recent cooperative group trials, including RTOG 0617 18 and RTOG 1308, 19 have allowed IMRT for treatment.However, with the increasing use of IMRT, concerns have emerged that more conformal IFRT techniques may deliver less incidental irradiation to ENs and result in increased nodal failures, potentially compromising tumor control or patient survival.Due to the paucity of data to address this theoretical concern, we performed a dosimetric analysis of 3DCRT vs. IMRT treatment plans to compare incidental irradiation to thoracic nodal stations in locally advanced NSCLC.

Patient Selection
We studied 30 stage IIIA-IIIB NSCLC patients treated with curative intent IMRT at the University of Pennsylvania between 2009-2011 after approval from the institutional review board.All patients were staged upfront with PET/ CT prior to treatment and treated with IFRT (defined below).Patients were predominantly treated on 2 prospective institutional protocols assessing dose escalation.
Inclusion criteria consisted of patients with histologically proven NSCLC, stages IIIA-IIIB, curative intent treatment, and radiation prescription doses ≥ 50 Gy.Stage IIIB patients with contralateral N3 disease were excluded since nearly all portions of the mediastinum would be comprehensively treated with either 3DCRT or IMRT given contralateral nodal disease.Most patients received chemotherapy, generally with concurrent carboplatin/paclitaxel, carboplatin/ docetaxel, or cisplatin/etoposide/ nelfinavir (an institutional protocol).

Radiation Treatment Planning
All patients were treated with stepand-shoot IMRT, and plans were created using Eclipse treatment planning system (Varian Medical Systems, Palo Alto, CA).Each patient underwent CT-based planning.All fields were treated daily.Patients were simulated supine with arms raised on a wing board using a 4-dimensional CT (4D CT).The gross tumor volume (GTV), clinical tumor volume (CTV), and planning tumor volume (PTV) were defined according to International Commission on Radiation Unit and Measurements (ICRU) 50.Nodal GTV was defined as biopsyproven nodal disease, radiographic enlargement of LNs > 1 cm on CT, or fludeoxyglucose F18 positron emission tomography ( 18 FDG-PET) positivity (SUV max ≥ 3.0). 20CTV expansion was 0.8-1.0cm for primary GTV lesions and 0.3 cm for nodal GTV.An ITV expansion was created for target motion during the breathing cycle.The PTV was generated with a 0.5-cm margin around the ITV.Lung, esophagus, heart and spinal cord were contoured as organs at risk (OAR).OAR dose constraints were as follows: maximum spinal cord dose 50 Gy; total lung (lungs minus PTV) V20 < 35%, lung V5 < 60%, and mean lung dose < 20 Gy; heart V40 < 50%; and esophagus V55 < 30%.
IMRT plans were generated with 4-5 fixed fields, arranged primarily anterior/ posterior with obliques to minimize lung dose.Fluence-based optimization with beamlet-based inverse planning was utilized.Each patient had a comparative 3DCRT treatment plan generated using Eclipse software.The 3DCRT beam arrangements were similar to their respective IMRT plans with anterior/ posterior and opposed oblique fields with objectives to maximize tumor coverage while limiting lung exposure.The 3DCRT plans were optimized to have comparable PTV coverage while meeting dose constraints for lung, heart, esophagus and spinal cord.Seven patients with medially located gross disease near the spinal cord were excluded from dosimetric analysis as the cord dose constraint was exceeded, which precluded optimal PTV coverage in 3DCRT plans.Our final cohort consisted of 23 patients for dosimetric analysis.

Data Analysis
For the dosimetric analysis, LN stations 1-2, 3A, 3P, 4, 5, 6, and 7 were contoured according to the University of Michigan CT-based atlas of thoracic node regions. 21These nodal volumes were then truncated from the PTV to generate EN volumes.Dosimetric parameters were calculated for each EN station for both IMRT and 3DCRT plans (n = 46 plans).The mean dose (Gy) and V40, V50 and V60 (mean %) were calculated for each nodal station for plan comparisons.These volumetric dose levels were chosen as they are reflective of EN doses that may provide adequate microscopic disease control. 9,11,22Clinical outcomes, including locoregional recurrence, distant failures and survival, were assessed at longitudinal follow-up after treatment completion.Locoregional recurrences were defined as occurring in the lung or regional lymph nodes.

Clinical Outcomes
At a median follow-up of 21 months from radiation completion, 8 patients (34.8%) were alive, of whom 5 patients (21.7%) had no evidence of disease.Six patients (26.1%) had locoregionalonly recurrences, 5 patients (21.7%) had distant disease at progression, and 3 patients (13.0%) had both locoregional and distant disease.Of the patients with locoregional-only recurrences, only 1 patient (4%) failed in the regional LNs alone without intrathoracic disease progression.Unlike the other patients who were treated definitively, this patient had a stage IIIA (pT2N2M0) right upper lobe adenocarcinoma for which she underwent right upper lobectomy and lymph node dissection demonstrating nodal disease at levels 10R and 4R.Given the pN2 disease, she received adjuvant sequential chemotherapy followed by radiation (total dose 61.2 Gy due to positive margin).The patient subsequently failed in LN regions (supraclavicular, station 5) outside of the initially involved nodal stations.However, of note, the supraclavicular LNs would not have been routinely included in the EN volume for this patient with a stage IIIA right-sided primary tumor.

Discussion
With the demonstration of low EN failure rates when treating locally advanced NSCLC with IFRT using 3DCRT, 7-10 many physicians have chosen to deliver IFRT to avoid the higher rates of esophagitis and radiation pneumonitis associated with ENI. 6,23However, while IMRT use is increasingly adopted to treat NSCLC, it remains to be established whether IMRT confers the same or similar benefit of incidental irradiation as 3DCRT.Our dosimetric study demonstrates that IMRT can be safely delivered without significant concern for increased risk of nodal failures since EN irradiation does not appear to be compromised.However, caution should be exercised applied radiation oncology when delivering IFRT with IMRT if there is high risk for subclinical disease in the level 5 and 6 nodal regions. 24e found that IMRT delivers similar incidental radiation doses as 3DCRT to EN stations 2, 3, 4 and 7.However, IMRT delivered less incidental doses to station 5 and 6 nodes vs. 3DCRT.These differences were particularly profound in the ≥ 50 Gy and ≥ 60 Gy dose regions, where IMRT delivered 41% and 77% less dose, respectively, to level 6 nodes, when compared to 3DCRT.Additionally, the mean dose to contralateral station 6 was more than 10 Gy less with IMRT than 3DCRT.At a median follow-up of 21 months, 6 (26%) of our patients had locoregional disease progression, with only 1 (4%) patient having isolated EN failure.While our study objective and focus are on dosimetric comparisons, our exploration of patterns of regional failure with IMRT in locally advanced NSCLC supports a low rate of EN failures.
The low rates of isolated EN failures when treating NSCLC with IFRT using 3DCRT have largely been attributed to incidental nodal irradiation.Rosenzweig and colleagues studied patients treated with 3DCRT without ENI and demonstrated an EN failure rate of only 6%, with some of those failures occurring in supraclavicular nodes that would not be electively targeted in modern ENI fields. 9In a prospective study by Yuan et al, stage III NSCLC patients had an EN failure rate of 4% at 5 years in their ENI arm vs. 7% in the IFRT arm. 7Kimura and colleagues attributed their EN failure rate of only 8% when treating IFRT with 3DCRT to a median incidental nodal dose ≥ 40 Gy in the majority of EN stations. 11Finally, Kepka et al reported a strong dose-response relationship for EN control, with the majority of failures occurring in nodal regions receiving < 50 Gy. 22Our study of IMRT, rather than 3DCRT patients, confirms similar findings, with comparable incidental radiation doses overall in the IMRT plans, and only a 4% rate of isolated regional nodal failure.
Given the low rates of nodal failure with IFRT, many physicians have adopted this technique to reduce treatment-related toxicities without compromising clinical efficacy.Our institution and others have demonstrated a lower rate of esophageal and pulmonary toxicity when treating with IFRT vs. ENI while retaining similar rates of EN control, primary tumor local control, and overall survival. 13,25o further reduce treatment-associated morbidity, more conformal IFRT delivery with IMRT has been increasingly adopted nationwide. 15,17andomized data from prospective trials also support decreased toxicity when treating NSCLC with IMRT.In a secondary analysis of RTOG 0617, patients treated with IMRT vs. 3DCRT were found to have less decline in quality of life (21% vs 45%, p = 0.003). 18,26owever, while the adoption of IMRT is increasing, 15,17   applied radiation oncology been seen between IMRT and 3DCRT if these patients were included in this analysis.Given the small sample size, a detailed analysis on variables associated with differences in incidental dose was largely limited.Third, given the difference in techniques, the present analysis cannot be extrapolated to the use of volumetric modulated arc therapy (VMAT) or proton therapy, which is also increasingly being used in locally advanced NSCLC 29,30 but which is also surrounded by a theoretical risk of EN failures.Finally, our patients were treated prior to the publication of RTOG 0617 18 and predominantly on institutional dose escalation protocols resulting in potentially higher prescription doses than may be used today.However, escalated doses are still common today 31 with trials such as RTOG 1308 allowing prescription doses up to 70 Gy. 19n conclusion, our dosimetric analysis demonstrates that IFRT using IMRT offers comparable microscopic incidental irradiation doses as 3DCRT to EN regions.These data are encouraging for the continued use of IFRT with IMRT in NSCLC when clinically indicated, and support the promising advantage of IMRT in conformal dose escalation while limiting treatmentrelated toxicities.However, when treating patients with a high risk of subclinical disease in levels 5 and 6, such as patients with left upper lobe and left central tumors, 24,32,33 IMRT should be used cautiously given the reduced incidental dose to these stations seen in this study with IMRT compared to 3DCRT.While only 1 patient in our study had an isolated nodal failure, given our small sample size future studies should evaluate the clinical correlations of these dosimetric findings to assess EN control after treatment with involved field IMRT.

FIGURE 1 .
FIGURE 1. Plan comparison of intensity-modulated radiation therapy (IMRT) vs. 3-dimensional conformal radiation therapy (3DCRT) treatment plans.Comparison of mediastinal lymph node coverage for an IMRT vs. 3DCRT plan on the same patient at the aorto-pulmonary window for the 40 Gy isodose level.Note decreased radiation dose at the aorto-pulmonary window nodal region indicated by red arrow in IMRT plan.
INCIDENTAL NODAL IRRADIATION IN LOCALLY ADVANCED NON-SMALL CELL LUNG CANCERapplied radiation oncology

Table 1 . Patient Demographics All patients
n APPLIED RADIATION ONCOLOGY www.appliedradiationoncology.com December 2017 INCIDENTAL NODAL IRRADIATION IN LOCALLY ADVANCED NON-SMALL CELL LUNG CANCER