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Table 5 Vertebral body dosimetric parameters for some common thoracic and abdominal tumors

From: Preoperative chemoradiation-induced hematological toxicity and related vertebral dosimetry evaluations in patients with locally advanced gastric cancer: data from a phase III clinical trial

Study (Ref.), Year

Tumor type, N

Therapeutic regimen

VB dosimetric thresholds

Wang et al. (31),

2016

Gastric cancer,

n = 25

Adjuvant CRT (45 Gy/25f, chemotherapy based on capecitabine)

V5 ≤ 90% for Grade 3 + leukopenia;

V20 ≤ 78% for Grade 3 + neutropenia;

V30 ≤ 60% for Grade 3 + thrombocytopenia

Zhang et al. (14),

2019

Esophageal cancer,

n = 53

Preoperative CRT (41.47 Gy, carboplatin-paclitaxel)

V10 ≤ 49.1%, V20 ≤ 46.5%, Dmean < 17.2 Gy for Grade 3 + leukopenia

Fabian et al. (29),

2019

Esophageal cancer,

n = 137

Neoadjuvant or definitive CRT (50.4–59.4 Gy, chemotherapy based on cisplatin/5-fluorouracil)

V30 < 14% for Grade 3 + total HTs

Lee et al. (30),

2016

Esophageal cancer,

n = 41

Neoadjuvant CRT (41.4–48 Gy, chemotherapy based on cisplatin/ 5-fluorouracil)

V20 < 70%, V10 < 77%, Dmean < 25.9 Gy for Grade 3 + leukopenia

Barney et al. (28),

2017

Lung cancer,

n = 201

Definitive CRT (60–70 Gy, chemotherapy based on cisplatin)

V5 ≤ 65%, V10 ≤ 60%, V20 ≤ 50%,

Dmean ≤ 23.5 Gy for Grade 3 + total HTs

Shaikh et al. (15),

2015

Pancreatic cancer,

n = 49

Definitive CRT (chemotherapy based on gemcitabine)

V5 < 57.6% for Grade 2 + leukopenia;

Dmax < 48.02 Gy for Grade 2 + neutropenia

  1. CRT, chemoradiotherapy