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Table 3 Pathological response to SBRT and the correlation between clinical response

From: Clinical outcome and pathologic correlation of stereotactic body radiation therapy as a bridge to transplantation for advanced hepatocellular carcinoma: a case series

Patient

Pre-LT SBRT

LT

BCLC stage

Dose (Gy)/fraction number

Prescription isodose/maximum dose*

Radiological response

RILD

Milan criteria

Median time to LT (months)

Donor type

Pathologic AJCC 8th stage

Max. tumor size

PVTT

Tumor necrosis

Recurrence site

Status

1

B

42/5

75%/5600 cGy

SD

B → B

1.6

CLT

IIIA

2.5

Present

30%

DOO

2

B

60/5

72%/8333 cGy

PR

B → B

34.3

LDLT

II

2.2

5%

Liver, carcinomatosis

DOD

3

B

45/5

75%/6000 cGy

SD

B → B

7.3

LDLT

II

2.5

100%

Liver

DOD

4

B

40/5

70%/5714 cGy

SD

B → B

5.8

LDLT

II

6

99%

NED

5

A

50/5

80%/6250 cGy

PR

W → W

17.0

CLT

II

2.5

100%

NED

6

C

55/5

73%/7534 cGy

PR

B → B

4.0

LDLT

II

3.5

Present

10%

Bilateral lung

DOD

7a

b

A

B

45/5

45/5

79%/5696 cGy

75%/6000 cGy

CR

CR

W → W

W → B

23.0

LDLT

II

1

5%

DOO

8

C

35/5

72%/4861 cGy

CR

Nonclassic

B → W

8.6

CLT

IIIA

6

90%

DOO

9

A

40/4

79%/5063 cGy

PR

W → W

62.4

CLT

IIIB

5.5

Present

NA

DOO

10a

b

B

0

50/5

50/5

78%/6410 cGy

76%/6579 cGy

PR

SD

B → W

W → W

40.5

CLT

IIIC

3.5

95%

liver, lymph nodes, left adrenal gland,

DOD

11

C

45/5

75%/6000 cGy

PR

B → B

11.7

LDLT

I

6.5

30%

DOO

12

C

47.5/5

72%/6690 cGy

SD

B → B

2.1

CLT

No viable tumor

NED

13

B

28/5

76%/3683 cGy

SD

B → B

6.2

NA

NA

NA

NA

NA

Solitary lung

NED

14

D

50/5

90%/5853 cGy

CR

W → W

8.3

CLT

IA

1.5

Present

NA

NED

  1. B, beyond Milan criteria; BCLC, Barcelona clinic liver cancer; CLT, cadaveric liver transplantation; CR, complete response; DOD, died of disease; DOO, dead of other causes; LDLT, living donor liver transplantation; LT, liver transplantation; NA, not available; NED, no evidence of disease; PR, partial response; PVTT, portal vein tumor thrombosis; RILD, radiation-induced liver disease; SD, stable disease; W, within Milan criteria