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Table 1 Patient and RID lesion characteristics

From: Histopathologically confirmed radiation-induced damage of the brain – an in-depth analysis of radiation parameters and spatio-temporal occurrence

 

All lesions

High-grade glioma

Brain metastasis

Number of patients

33

18 (55.5%)

• Glioblastoma WHO grade 4: 11 (61.1%)

• Oligodendroglioma WHO grade 3: 4 (22.2%)

• Astrocytoma WHO grade 3: 3 (16.7%)

15 (45.5%)

• Non-small cell lung cancer: 5 (33.3%)

• Malignant melanoma: 3 (20.0%)

• Renal cell carcinoma: 2 (13.3%)

• Breast cancer: 2 (13.3%)

• Colorectal cancer: 1 (6.7%)

• Thyroid carcinoma: 1 (6.7%)

• Adenocarcinoma of the esophagogastric junction: 1 (6.7%)

Median age in years at resection of first RID lesion (IQR)

56.0 (49.0–64.5)

55.5 (47.8–65.0)

56.0 (50.0–64.0)

Gender

   

 Female

16 (48.5%)

10 (55.6%)

6 (40.0%)

 Male

17 (51.5%)

8 (44.4%)

9 (60.0%)

Median time-to-RID (interval between last RT and first occurrence of RID in MRI) in months (range)

5.8 (0.7–29.0)

5.6 (0.7–29.0)

5.8 (2.3–23.7)

Number of RID lesions

34

18 (52.9%)

16 (47.1%)

RID pathology

   

 RID

24 (70.6%)

10 (55.6%)

14 (87.5%)

 RID + single

 tumor cells

10 (29.4%)

8 (44.4%)

2 (12.5%)

Type of surgery

   

 Resection

30 (88.2%)

15 (83.3%)

15 (93.8%)

 Biopsy

3 (8.8%)

3 (16.7%)

0 (0.0%)

 Autopsy

1 (2.9%)

0 (0.0%)

1 (6.3%)

Reasons for histopathological confirmationa

   

 Suspected tumor

 recurrence or progression or

 ambiguous resultsb of the

 obtained imaging + symptoms

 associated with the lesion

21 (63.6%)

10 (58.8%)

11 (68.8%)

 Suspected tumor

 recurrence or progression or

 ambiguous resultsb of the

 obtained imaging without any

 symptoms associated with the

 lesion

10 (30.3%)

7 (41.2%)

3 (18.8%)

 Suspected RID based on the

 obtained imaging, resection

 because of symptoms

1 (3.0%)

0 (0.0%)

1 (6.3%)

 Autopsy / death of patient

1 (3.0%)

0 (0.0%)

1 (6.3%)

 Data not available

1

1

0

  1. IQR, interquartile range; MRI, magnetic resonance imaging; RID, radiation-induced damage; RT, radiotherapy
  2. a For one patient/lesion data regarding the reason for performing biopsy was not available. Percentages were calculated based on the remaining lesions (n = 33)
  3. b Tumor recurrence or progression and RID could not be definitely distinguished with the obtained imaging