Radiotherapy
Conditions
Brief summary
The investigators aim to investigate the impact of thoracic radiation therapy on diffusion capacity of the lung (primary endpoint: diffusion capacity for nitric oxide, DLNO) and on exhaled nitric oxide.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* planned but not already commenced radiation therapy (RT) of the chest, with or without pre-RT surgery. * signed informed consent of the participant
Exclusion criteria
* thoracic RT in the past * treatment with immune checkpoint inhibitors * unstable condition affecting participation in the measurements
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in diffusing capacity for nitric oxide (DLNO) | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Transfer Coefficient for nitric oxide (DLNO/VA) | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | The course over time will be described. |
| Transfer Coefficient for carbon monoxide (DLCO/VA) | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | The course over time will be described. |
| Ratio of DLNO and DLCO | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | The course over time will be described. |
| Alveolar-capillary membrane-diffusing capacity for carbon monoxide (DMCO) | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | The course over time will be described. |
| Pulmonary capillary blood volume (Vc) | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | This variable is a calculated variable. The course over time will be described. |
| Alveolar Volume (VA) | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | This variable is a calculated variable. The course over time will be described. |
| Fractional concentration of exhaled nitric oxide at a flow rate of 50mL/s (FENO50) | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | The course over time will be described. |
| Diffusing capacity for carbon monoxide (DLCO) | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | The course over time will be described. |
| Tissue concentration of nitric oxide of the airway wall (CawNO) | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | The course over time will be described. |
| Airway compartment diffusing capacity of nitric oxide from the of of the airway wall to the gas stream (DawNO) | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | The course over time will be described. |
| Total flux of nitric oxide in the conducting airway compartment (JawNO) | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | The course over time will be described. |
| Forced expiratory volume in 1 second | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | The course over time will be described. |
| Forced vital capacity | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | The course over time will be described. |
| Forced expiratory flow between 25% and 75% of forced vital capacity | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | The course over time will be described. |
| Concentration of nitric oxide in the gas phase of the alveolar or acinar region (CANO) | Before start of radiation therapy (RT), at the day of end of RT, 6 weeks and 12 months after end of RT | The course over time will be described. |
Countries
Switzerland