Objective To observe the incidence of acute radiation pneumonitis(RP) after intensity modulated radiation therapy,and to explore the relationship between the incidence of RP and the parameters from dose-volume histogram(DVH)in the patients with non-small cell lungcancer(NSCLC).Methods By Pinnacle 7.6c TPS,46 patients with NSCLC were treated by IMRT.The values of the percentages of the lung volumes receieved 5,10,20,and 30 Gy radition to the total lung volumes (V5 ,V10,V20,V30) and mean lung dose(MLD) were observed,and its correlation with acute RP was analyzed.Results The incidence of acute RP of the patients with NSCLC was 37.0%(17/46),among then there were 29 cases (63.0%) of Grade 0 (non-pneumonitis group),12 cases (26.1%) of Grade 1,5 cases(10.9%) of Grade 2, and there were no Grade 4 and 5 RP. The values of V5 ,V10 ,V20 ,V30,and MLD of lung were 53.34 %,43.12%,24.15%,15.36 %,and 16.02 Gy.The values of V5 ,V10 ,V20 ,V30,and MLD in pneumonitis group were 57.81%,48.91%,31.34%,17.83%,21.71 Gy,and they were 49.81%,39.78%, 21.82%, 13.12%,and 13.71 Gy in non-pneumonitis group,there were significant differences between two groups(P<0.05).Conclusion The intensity modulated radiation therapy in treatment of NSCLC can protect thelung tissue,and the parameters of DVH such as V5 ,V10 ,V20 ,V30 and MLD can predict the occurrence of RP.