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Table 3 Treatment parameters

From: Radiation necrosis after a combination of external beam radiotherapy and iodine-125 brachytherapy in gliomas

Parameters

Total

Absolute (n)

Relative (%)

Treatment sequence

  

 Upfront EBRT

58

67

 Upfront SBT

28

33

SBT

Median (range)

 

 Reference dose (Gy)

54.0 (20.0–60.0)

 

 Dose rate (cGy/h)

10.0 (5.0–22.0)

 

 Tumor volume (ccm)

3.56 (0.22–50.50)

 

 Treatment time (h)

500 (200–1044)

 

 BED for late reacting tissue (Gy3)

46.88 (17.40–72.89)

 

 BED for tumor tissue (Gy10)

41.59 (15.50–63.14)

 

Number of implanted seeds/patient

Number of patients

 

 1

39

45

 2

34

40

 3

11

13

 4

2

2

EBRT

Median (range)

 

 Treatment time (days)

43 (20–67)

 

 Dose of single fraction (Gy)

2.0 (1.60–2.67)

 

 Total dose (Gy)

60.0 (40.05–69.40)

 

 BED for late reacting tissue (Gy3)

73.6 (55.44–91.11)

 

 BED for tumor tissue (Gy10)

45.6 (34.27–54.49)

 

Cumulative BED after EBRT + SBT

Median (range)

 

 Total BED for late reacting tissue (Gy3)

120.38 (83.73–180.92)

 

 Total BED for tumor tissue (Gy10)

87.23 (54.02–130.16)

 

Interval between EBRT and SBT (months)

Median (range)

19 (2–227)

 

Systemic treatment simultaneous to re-irradiation

  

 Yes

11

13

 Temozolomide

11

100

 No

69

80

 Unknown

6

7

Systemic treatment sequential after re-irradiation (within 1 year)

 Yes

30

35

  Temozolomide

17

57

  Temozolomide → Bevacizumab

1

3

  Temozolomide → PCV

1

3

  PC

1

3

  PC → Bevacizumab/Irinotecan

1

3

  Bevacizumab

2

7

  Bevacizumab/Irinotecan

3

10

  Bevacizumab/PC

1

3

  Bevacizumab/Temozolomide

3

10

 No

49

57

  Unknown

7

8

Sequential bevacizumab after re-irradiation (within 1 year)

 Yes

11

13

 No

68

79

 Unknown

7

8

  1. EBRT: external beam radiotherapy; SBT: stereotactic brachytherapy; BED: biologically effective doses; PC: procarbazine, CCNU; PCV: procarbazine, CCNU, and vincristine