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) |