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Table 2 Treatment parameters

From: MR-guided SBRT boost for patients with locally advanced or recurrent gynecological cancers ineligible for brachytherapy: feasibility and early clinical experience

Treatment parameters

Median (range)

EBRT

 

Dose of pelvic irradiation

45.0 Gy in 25 fx

SIB to primary tumors (n = 4)

50.0–55.0 Gy in 25 fx

Sequential boost to the primary tumor (n = 2)

10–16 Gy in 2 Gy/fx

Total dose of primary tumor and pelvic/paraaortic lymphatic pathways

45.0 Gy (45.0–55.0 Gy)

SIB to positive lymph nodes (n = 3)

55.0–57.5 Gy

Concurrent chemotherapy with cisplatin 40 mg/m2 weekly (n = 9)

5 cycles (4–5 cycles)

Concurrent chemotherapy with carboplatin AUC 2 weekly (n = 1)

3 cycles

MR-guided SBRT boost

 

Dose per fraction

5.2 Gy (4.0–7.0 Gy)

Total dose

21.0 Gy (8.0–28.0 Gy)

HR-CTV

35.2 ccm (12.1–111.75 ccm)

PTVopt

43.5 ccm (24.2–131.35 ccm)

Net beam on time/fraction

5.6 min (1.53–11.67 min)

Overall treatment time/fraction

77 min (44.0–89.5 min)

Rectum D2ccm (EQD23)

17.6 Gy3 (1.5–24.9 Gy3)

Bladder D2ccm (EQD23)

25.4 Gy3 (5.1–35.2 Gy3)

Sigmoid D2ccm (EQD23)

17.4 Gy3 (0.3–24.9Gy3)

Bowel D2ccm (EQD23)

11.6 Gy3 (0.3–23.6 Gy3)

Combined treatment (EBRT + MR-guided SBRT boost)

 

Cumulative total dose (EQD210)

73.6 Gy10 (69.3–83.9 Gy10)

Rectum D2ccm (EQD23)

63.7 Gy3 (51.5–72.6 Gy3)

Bladder D2ccm (EQD23)

72.2 Gy3 (59.7–83.6 Gy3)

Sigmoid D2ccm (EQD23)

65.8 Gy3 (43.9–69.0 Gy3)

Bowel D2ccm (EQD23)

59.9 Gy3 (47.7–70.0 Gy3)

Overall treatment time (OTT)

50 days (39–56 days)

  1. Fx fractions