Skip to main content

Table 1 Primary study characteristics and results

From: Stereotactic body radiotherapy for early-stage lung cancer: a systematic review on the choice of photon energy and linac flattened/unflattened beams

 

Beam modalities

Number of patients

Optimisation algorithm

Fractionation schemes

Favourable beam modality as per the specified criteria

Hrbacek et al. 2014 [32]

6-FF, 6-FFF, 10-FFF

11

AAA

50 Gy/5 fx

6-FFF (Target conformity)

10-FFF (BOT reduction, lower skin and peripheral dose)

Lu et al. 2015 [36]

6-FFF, 10-FFF

12

AAA

48 Gy/4 fx,

54 Gy/3 fx,

34 Gy/ 1 fx

6-FFF (For 48 Gy/4 fx and 54 Gy/3 fx)

10-FFF (For 34 Gy/1 fx)

Kim et al. 2015 [27]

6-FF, 6-FFF

10

AcurosXB

48 Gy/4 fx

6-FFF (BOT reduction)

Zhang et al. 2015 [46]

6 MV, 3 MV, mixed energy of 3 and 6 MV

31

Monte Carlo

50 Gy/4 fx,

54 Gy/3 fx,

40 Gy/4 fx,

50 Gy/5 fx

3 MV (Target conformity, homogeneity, and OAR sparing for physically thin patients)

Liu et al. 2016 [24]

Flattened 6 MV, 6-FFF

98

AcurosXB

48 Gy/4 fx

6-FFF (BOT reduction)

Barbiero et al. 2016 [23]

Flattened 6 MV, 6-FFF

25

AAA

24 Gy/1 fx

6-FFF (BOT reduction)

Vieillevigne et al. 2016 [29]

Flattened 6 MV, Flattened 10 MV, 6-FFF, 10-FFF

24

AAA

60 Gy/3 fx

6-FFF, 10-FFF (Target conformity, BOT reduction, except in the case of DCA treatment of larger tumour)

Tambe et al. 2016 [34]

Flattened 6 MV, 6-FFF, 10-FFF

15

AcurosXB

18 Gy/fx,

11 Gy/fx,

7.5 Gy/fx,

6.25 Gy/fx

10-FFF (BOT reduction)

Aoki et al. 2017 [22]

Flattened 6 MV, Flattened 10 MV, 6-FFF, 10-FFF

30

Collapsed Cone

55 Gy/4 fx

6-FFF, 10-FFF (BOT reduction)

Pokhrel et al. 2019 [28]

Flattened 6 MV, 6-FFF

13

AcurosXB

30 Gy/1 fx

6-FFF (OAR sparing, BOT reduction)

Vassiliev et al. 2020 [26]

Flattened 6 MV, 6-FFF

15

AAA

50 Gy/4 fx,

63 Gy/7 fx,

70 Gy/7 fx,

6-FFF (Target coverage, OAR sparing)

Akbari et al. 2021 [33]

6-FFF,10-FFF

73

Collapsed Cone

50 Gy/5 fx,

60 Gy/5 fx

6-FFF (Target homogeneity, dose fall-off)

Wei et al. 2022 [31]

6 MV, 10 MV

30

Collapsed Cone

48 Gy/4 fx

6 MV (OAR sparing)

Savanovic et al. 2022 [25]

Flattened 6 MV, 6-FFF

100

Collapsed Cone

60 Gy/4 fx,

60 Gy/8 fx

6-FFF (OAR sparing, BOT reduction)

Gasic et al. 2014 [30]

Flattened 6 MV, Flattened 10 MV, 6-FFF, 10-FFF

20

AAA

-

6-FFF, 10-FFF (BOT reduction)

6-FF, 10-FF (Target homogeneity in larger tumours)

Wu et al. 2023 [35]

Flattened 6 MV, 6-FFF

198

Collapsed Cone

50 Gy/5 fx

6-FFF (OAR sparing, BOT reduction)

Gaudreault et al. 2022 [37]

FF, FFF

366

-

18–28 Gy/1 fx

FFF (BOT reduction)

Nielsen et al. 2016 [38]

FF, FFF

745

Collapsed Cone

45 Gy/3 fx

FFF (BOT reduction)

Pokhrel et al. 2019 [39]

Flattened 6 MV, 6-FFF

13

AcurosXB

30 Gy/1 fx

6-FFF (BOT reduction)

Miura et al. 2020 [40]

6-FFF, 10-FFF

10

Collapsed Cone

42 Gy/4 fx

6-FFF (OAR sparing)

10-FFF (BOT reduction)