Skip to main content

Table 3 Radiotherapy prior to RID lesion resection

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 RT courses in the area of RID

   

 1

17 (50.0%)

14 (77.8%)

3 (18.8%)

 2

15 (44.1%)

4 (22.2%)

11 (68.8%)

 3

2 (5.9%)

0 (0.0%)

2 (12.5%)

Median cumulative EQD22 in Gy excluding boost (IQR)

103.2 (60.0–176.3)

60.0 (55.6–70.3)

162.4 (121.8–235.6)

Median cumulative BED2 in Gy excluding boost (IQR)

206.4 (120.0–352.5)

120.0 (111.3–140.6)

324.8 (243.6–471.3)

Number of cases that received hypofractionation (single dose ≥2.5 Gy) in at least one RT course

20 (58.8%)

4 (22.2%)

16 (100.0%)

Median single RT course EQD22 in Gy excluding boost (IQR)

60.0 (55.2–90.0)

60.0 (53.3–60.0)

71.6 (60.0–120.8)

Median number of fractions per single RT course (IQR)

11 (1–30)

30 (29.3–30.8)

3 (1–11)

Fractions per day (single RT course)

   

 3/week

1 (1.9%)

0 (0.0%)

1 (3.2%)

 1/day

48 (90.6%)

19 (86.4%)

29 (93.5%)

 2/day

4 (7.5%)

3 (13.6%)

1 (3.2%)

Median prescription dose (single RT course) in Gy (IQR)

41.8 (24.0–59.2)

59.4 (53.3–60.0)

25.6 (21.0–41.8)

Median single fraction dose in Gy (IQR)

3.8 (2.0–18.0)

2.0 (1.8–2.0)

8.0 (3.8–21.0)

Median maximum dose within PTV (single RT course) in Gy (IQR)

43.4 (30.0–63.6)

64.1 (56.1–68.3)

30.0 (26.5–43.3)

Median PTV volume in ccm excluding WBRT (IQR)*

15.9 (4.2–196.0)

203.9 (155.1–308.9)

6.7 (3.2–14.2)

Median coverage of RID lesion by single RT course PTV in percent (IQR)

82.1 (42.9–99.8)

97.8 (91.8–100.0)

46.4 (39.2–82.1)

Median coverage of RID lesion by combined PTV in percent (IQR)

97.8 (88.1–100.0)

99.9 (96.7–100.0)

89.8 (52.9–99.7)

Number of RTs with boost

13 (24.5%)

12 (54.5%)

1 (3.2%)

Median boost volume in ccm (IQR)

14.8 (7.8–72.9)

16.6 (8.8–78.2)

0.2 (n = 1)

Median boost EQD22 in Gy (IQR)

69.3 (67.7–71.7)

69.3 (66.8–71.1)

90.6 (n = 1)

Prescription isodose line

   

 70%

 80%

 95%

11 (20.8%)

16 (30.2%)

26 (49.1%)

1 (4.5%)

1 (4.5%)

20 (90.9%)

10 (32.3%)

15 (48.4%)

6 (19.4%)

  1. BED2, Biologically Effective Dose (α/β ratio = 2 Gy); ccm, cubic centimeter; EQD22, equivalent dose in 2 Gy fractions (α/β ratio = 2 Gy); Gy, Gray; IQR, interquartile range; RID, radiation-induced damage; RT, radiotherapy; WBRT, whole brain radiotherapy
  2. *Four cases of WBRT in the brain metastasis group were excluded from the volume analysis, as PTV volume was not available and could only be estimated for this type of RT and they were deemed to be not comparable to the other RT courses, because of very high volumes inherent to the technique of irradiating the whole brain