There are many ongoing advances in patient safety in the context of radiation therapy delivery, clinical research on treatment options, and advanced techniques in radiotherapy delivery. Failure to stay informed leads to lower quality of care by practicing clinicians.

There are phase II randomized trials that show a benefit to local consolidative SBRT in oligometastatic non-small cell lung cancer. There are pending phase III trials that have not yet read out.

Advances in medical oncology, radiation oncology and thoracic surgery have made advanced treatments available to older and more frail patients. A better understanding the interaction of patient frailty and comorbidities to evolving interventions and outcomes is needed.

Surgical outcomes are less than ideal and recent data will be reviewed on optimal combination of immunotherapy with surgery to improve those outcomes.

The session will provide updated information about former and novel regulatory approvals requiring the use of biomarkers for patient selection to optimal anti-cancer treatments.

The Plenary session highlights abstracts of scientific significance deemed to have the highest merit and greatest impact on radiation oncology research and practice.

The development of LDCT screening for lung cancer was a significant advance; there are patient populations that were not included in the original studies.

Use of tobacco products, marijuana, opioids, herbal supplements and illicit substances is quite common and can have significant impact on safety and efficacy of cancer treatments and pain tolerance.

With the increasing use of cancer immunotherapies for a variety of cancers, including lung cancer, there has been a parallel increase in the toxicity profile across organ systems.

There have been many advances in the systemic therapy for lung cancer. Novel agents carry with them unique toxicities and considerations for multidisciplinary cancer care.