title: ACR Appropriateness Criteria® radiation therapy for small-cell lung cancer.
abstract: The current standard of care for small cell lung cancer is combined-modality therapy, including the use of chemotherapy, surgery (in selected cases of limited stage of disease), and radiation therapy. This review will focus on the role, dose fractionation, technology and timing of thoracic radiation, and the role and dose regimen of prophylactic cranial irradiation for both limited and extensive stage of diseases. Consensus recommendation from experts is summarized in the tables for 2 typical case scenarios. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
authors.affiliation: Ann Arbor Veteran Affairs Medical Center, University of Michigan, Ann Arbor, MI, USA. fengkong@med.umich.edu
authors.forename: Feng-Ming
authors.initials: FM
authors.lastname: Kong
authors.forename: Brian E
authors.initials: BE
authors.lastname: Lally
authors.forename: Joe Yujiao
authors.initials: JY
authors.lastname: Chang
authors.forename: Indrin J
authors.initials: IJ
authors.lastname: Chetty
authors.forename: Roy H
authors.initials: RH
authors.lastname: Decker
authors.forename: Mark E
authors.initials: ME
authors.lastname: Ginsburg
authors.forename: Larry L
authors.initials: LL
authors.lastname: Kestin
authors.forename: Corey J
authors.initials: CJ
authors.lastname: Langer
authors.forename: Benjamin
authors.initials: B
authors.lastname: Movsas
authors.forename: Gregory M M
authors.initials: GM
authors.lastname: Videtic
authors.forename: Henning
authors.initials: H
authors.lastname: Willers
authors.forename: Kenneth E
authors.initials: KE
authors.lastname: Rosenzweig
mesh_terms: D003131:Combined Modality Therapy / Q000379:methods*; D019583:Dose Fractionation, Radiation; D006801:Humans; D008175:Lung Neoplasms / Q000532:radiotherapy*; D017410:Practice Guidelines as Topic; D055752:Small Cell Lung Carcinoma / Q000532:radiotherapy*