Skip to main content

Table 2 Disease control and survival with IORT for locally advanced rectal cancer. Results of selected series

From: Intraoperative radiation therapy for colon and rectal cancers: a clinical review

Study

# Patients

Years

EBRT dose, Gy

Margins

IORT dose, Gy

5-year LC

5-year DM

5-year OS

Willett, MGH [42]

20

1978–1989

50.4

R0

10–20

88%

-

53%a

Valentini, Rome [43]

29

1991–2006

45–55

R0

10–15

100%

-

-

Alberda, Rotterdam [44]

31

1996–2012

45–50b

R1

10c

84%

-

-

Zhang, Shanghai [45]

71

1994–2007

45–50.4

R0-1

10–20

90%

54%

75%

Sadahiro, Japan [46]

99

1991–2001

20

ns

15–25

98%

20%

79%

Mathis, Mayo Clinic [6]

106

1981–2007

50.4

R0-2

7.5–25

86%d

49%d

49%

Roeder, Heidelberg [47]

243

1991–2004

41.4

R0-2

10–15

92%

-

-

Sole, Madrid [23]

335

1995–2010

45–50.4

R0-1

10–15

92%

25%e

75%

Kusters, European pooled [24]

605

to 2005

45–50.4

R0-2

10–12.5

88%

29%

67%

  1. Abbreviations: IORT intraoperative radiation therapy, LC local control, DM distant metastases, OS overall survival, EBRT external beam radiation therapy, MGH Massachusetts General Hospital
  2. aDisease-free survival
  3. bSome patients treated with 25 Gy in 5 fractions
  4. cintraoperative high dose rate brachytherapy
  5. dincludes 40 colon primary patients
  6. ecrude