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Introduction Radiotherapy is an important therapeutic strategy in the management of non-small cell lung cancer (NSCLC). In recent decades, technological implementations and the introduction of image guided radiotherapy (IGRT) have significantly increased the accuracy and tolerability of radiation therapy.Area covered In this review, we provide an overview of technological opportunities and future prospects in NSCLC management.Expert opinion Stereotactic body radiotherapy (SBRT) is now considered the standard approach in patients ineligi