Expert Radiation Oncology at One of Shanghai's Premier Thoracic Cancer Centers
The Department of Radiation Oncology at Shanghai Chest Hospital — affiliated with Shanghai Jiao Tong University School of Medicine — is one of Shanghai's most distinguished radiation oncology centers, with a national reputation for excellence in thoracic radiation therapy, stereotactic body radiotherapy (SBRT), intensity-modulated radiotherapy (IMRT), concurrent chemoradiation for lung and esophageal cancer, and the management of complex thoracic malignancies. As a dedicated cardiothoracic specialty hospital, Shanghai Chest Hospital offers uniquely integrated radiation oncology, thoracic surgery, and pulmonary medicine expertise under one roof, enabling seamless multidisciplinary care for patients with thoracic cancers. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their radiation oncology care journey.
About the Department
The radiation oncology department operates multiple linear accelerators (LINACs) with IMRT/VMAT capability, a dedicated SBRT/SABR program, a 4D-CT simulation suite, a respiratory gating and motion management program, an image-guided radiotherapy (IGRT) program, and works in close collaboration with thoracic surgery, pulmonary medicine, medical oncology, and pathology through a fully integrated multidisciplinary thoracic oncology team (MDT).
Lung Cancer Radiation Therapy
Early-Stage NSCLC
- Stereotactic Body Radiotherapy (SBRT / SABR) — For medically inoperable or patient-preference early-stage NSCLC (T1-T2N0); 3-5 fraction SBRT; BED ≥10 Gy; one of Shanghai's most experienced lung SBRT programs; outcomes comparable to surgery for peripheral T1 tumors (STARS/ROSEL/JCOG0403)
- SBRT for Central Tumors — Ultra-central tumor SBRT; risk-adapted fractionation; 8-10 fraction schedules; one of Shanghai's most experienced central lung SBRT programs
- Postoperative Adjuvant Radiotherapy — For pN2 disease after resection; PORT with IMRT; one of Shanghai's most experienced adjuvant PORT programs
Locally Advanced NSCLC (Stage III)
- Concurrent Chemoradiation (cCRT) — Carboplatin + paclitaxel or cisplatin + etoposide + RT; 60-66 Gy in 30-33 fractions; IMRT/VMAT; one of Shanghai's most experienced stage III NSCLC cCRT programs
- Durvalumab Consolidation (PACIFIC) — After cCRT for unresectable stage III NSCLC; PD-L1 unselected; one of Shanghai's most experienced PACIFIC protocol programs
- Neoadjuvant Chemoradiation — For borderline resectable stage IIIA NSCLC; followed by surgical resection; coordination with thoracic surgery
- Stereotactic Radiosurgery (SRS) for Brain Metastases — Single and multi-fraction SRS; Gamma Knife coordination; whole brain radiotherapy (WBRT) with hippocampal avoidance; one of Shanghai's most experienced brain metastasis SRS programs
Small Cell Lung Cancer (SCLC)
- Limited-Stage SCLC — Concurrent chemoradiation (cisplatin + etoposide + RT); twice-daily (BID) or once-daily RT; prophylactic cranial irradiation (PCI); Durvalumab consolidation (ADRIATIC); one of Shanghai's most experienced limited-stage SCLC programs
- Prophylactic Cranial Irradiation (PCI) — For limited and extensive-stage SCLC in complete remission; hippocampal-avoidance PCI; one of Shanghai's most experienced PCI programs
- Thoracic RT for Extensive-Stage SCLC — Consolidative thoracic RT after systemic therapy; one of Shanghai's most experienced programs
Esophageal Cancer Radiation Therapy
- Neoadjuvant Chemoradiation (nCRT) — CROSS protocol (carboplatin + paclitaxel + 41.4 Gy); for locally advanced esophageal cancer; followed by esophagectomy; one of Shanghai's most experienced nCRT programs; coordination with esophageal surgery
- Definitive Chemoradiation — For unresectable or medically inoperable esophageal cancer; cisplatin + 5-FU or carboplatin + paclitaxel + 50-60 Gy IMRT; one of Shanghai's most experienced definitive CRT programs
- Postoperative Adjuvant RT — For R1 resection or pN+ esophageal cancer; IMRT to reduce toxicity; one of Shanghai's most experienced adjuvant esophageal RT programs
- Palliative RT — For dysphagia palliation; bone metastases; brain metastases; one of Shanghai's most experienced palliative esophageal RT programs
Other Thoracic Malignancies
- Thymoma & Thymic Carcinoma — Postoperative adjuvant RT; definitive RT for unresectable disease; IMRT to spare heart and lungs; one of Shanghai's most experienced thymic tumor RT programs
- Malignant Pleural Mesothelioma — Hemithoracic RT after extrapleural pneumonectomy (EPP); IMRT; one of Shanghai's most experienced mesothelioma RT programs
- Mediastinal Lymphoma — Involved-site RT (ISRT) after chemotherapy; mediastinal RT with cardiac and pulmonary sparing; coordination with hematology
- Chest Wall Tumors — Postoperative RT for sarcoma; IMRT for complex chest wall targets
- Pulmonary Metastases (SBRT) — SBRT for oligometastatic pulmonary disease; 3-5 fraction SBRT; one of Shanghai's most experienced pulmonary metastasis SBRT programs
Advanced Radiation Technology
- IMRT / VMAT — Intensity-modulated and volumetric-modulated arc therapy; superior dose conformality; reduced dose to heart, spinal cord, and contralateral lung; standard for all thoracic RT at Shanghai Chest Hospital
- Image-Guided RT (IGRT) — Daily CBCT; kV imaging; online adaptive planning; one of Shanghai's most experienced thoracic IGRT programs
- 4D-CT Simulation & Respiratory Gating — 4D-CT for tumor motion assessment; respiratory gating; deep inspiration breath hold (DIBH) for cardiac sparing; one of Shanghai's most experienced 4D-CT programs
- Adaptive Radiotherapy — Online and offline adaptive RT; for tumor shrinkage during treatment; one of Shanghai's most experienced adaptive thoracic RT programs
- Proton Therapy Coordination — Coordination with proton therapy centers for selected cases; pencil beam scanning (PBS); for pediatric thoracic tumors and re-irradiation cases
Why International Patients Choose Shanghai Chest Hospital Radiation Oncology
- Thoracic Radiation Expertise — Dedicated thoracic radiation oncology team; one of China's highest-volume thoracic RT programs; lung cancer, esophageal cancer, thymoma, and mesothelioma
- Lung SBRT — One of Shanghai's most experienced lung SBRT programs; outcomes comparable to surgery for early-stage NSCLC; central and ultra-central tumor SBRT
- PACIFIC Protocol — One of Shanghai's most experienced centers for Durvalumab consolidation after cCRT for stage III NSCLC
- CROSS Protocol — One of Shanghai's most experienced centers for neoadjuvant chemoradiation for esophageal cancer; seamless coordination with esophageal surgery team
- Integrated Thoracic MDT — Radiation oncology, thoracic surgery, pulmonary medicine, and medical oncology under one roof; weekly thoracic oncology MDT
- Cost-Effectiveness — World-class thoracic radiation oncology at significantly lower cost than equivalent treatment in Western countries
The CMCS Patient Journey
- Initial Inquiry — Share your cancer diagnosis, CT/PET-CT scans, pathology reports, and prior treatment history with CMCS.
- Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
- Specialist Matching — We identify the most appropriate radiation oncologist based on your condition — lung SBRT, esophageal chemoradiation, or complex thoracic RT.
- MDT Submission — We facilitate pre-arrival thoracic oncology MDT case review for complex cases.
- Priority Scheduling — We secure a consultation and RT planning slot with minimal waiting time.
- Travel & Logistics — Assistance with visa invitation letters, accommodation near Shanghai Chest Hospital, and Shanghai airport transfers.
- Treatment Coordination — Full coordination of CT simulation, treatment planning, daily RT sessions, and on-treatment review.
- Post-Treatment Follow-Up — Treatment report translation, imaging review coordination, and remote follow-up after you return home.
Book a Consultation
If you require lung SBRT, esophageal chemoradiation, stage III NSCLC concurrent chemoradiation, or any complex thoracic radiation therapy — CMCS can arrange a specialist consultation with Shanghai Chest Hospital's radiation oncology team.
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