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Table 2 Lesion characteristics and treatment parameters

From: Stereotactic radiosurgery combined with targeted/ immunotherapy in patients with melanoma brain metastasis

Parameter

Number of lesions absolute relative

Number of lesions with follow up ≥3 months

52

100%

Location of metastasis

 Left

26

50.0%

 Right

25

48.1%

 Midline

1

1.9%

 Frontal

19

36.5%

 Parietal

6

11.5%

 Temporal

8

15.4%

 Occipital

6

11.5%

 Frontotemporal

1

1.9%

 Temporoparietal

1

1.9%

 Parietooccipital

1

1.9%

 Cerebellum

3

5.8%

 Others (basal ganglia, insular cortex, parahippocampal, parafalcin)

7

13.5%

GTV to PTV margin (mm)

 2 mm

24

46.2%

 3 mm

28

53.8%

Prescribed dose (Gy)

 15

1

1.9%

 17

2

3.8%

 18

17

32.7%

 20

30

57.7%

 24

2

3.8%

Prescribed isodose (%)

 70

1

1.9%

 80

51

98.1%

Treatment planning software

 Oncentra Masterplan

30

57.7%

 Monaco

17

32.7%

 Radionics

5

9.6%

Fixation technique

 Frameless Brainlab mask

9

17.3%

 Frameless double thermoplastic mask

38

73.1%

 Invasive fixed head frame

5

9.6%

Targeted/ immunotherapy (TT/IT)

 BRAFi

5

9.6%

 MEKi

1

1.9%

 Anti-CTLA-4

4

7.7%

 Anti-PD1

14

26.9%

 BRAFi+MEKi

6

11.5%

 Anti-PD1 + Anti-CTLA-4

10

19.2%

 Triple combination

2

3.8%

 none

10

19.2%

Application of TT/IT

 Before SRS (median: 9.5 days, range: 3-43 days)

24

46.2%

 Concurrent before SRS (median: 8 days, range: 3–21 days)

21

40.4%

 After SRS (median: 9 days, range: 2–97 days)

39

75.0%

 Concurrent after SRS (median: 8 days, range: 2–27 days)

15

28.8%

 Concurrent (4 weeks before or 4 weeks after SRS)

36

69.2%