SBRT 2016

Controversy: No treatment of lymph nodes How good is clinical nodal staging ?

SBRT series

Surgical series

CT & FDG-PET

CT

CT & FDG-PET

Nodal recurrences

False negative

~ 10%

~ 25%

~ 12%

D’Cunha 2005

Stiles 2010 Park 2010

References

Chi 2010

References

Consistent rate of 10% regional recurrences after PET staging  Further improvement with EBUS / EUS ?  NPV of 98.9% in clinical stage I NSCLC Herth 2008

M Guckenberger - SBRT stage I NSCLC - HICARE 2015

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