Adaptive Radiotherapy for Glioblastoma Multiforme - The Impact on Disease Outcome.

Abstract:

BACKGROUND/AIM:To study the changes of glioblastoma multiforme during chemoradiotherapy (CRT) and to evaluate the impact of changes on dosimetry and clinical outcomes. PATIENTS AND METHODS:Forty-three patients underwent volumetric imaging-based replanning. Prognostic factors and gross tumor volume changes in relation to overall survival and the effect of adaptive replanning were statistically analyzed. RESULTS:Patients with total tumor removal, with shorter time to CRT (<27 days), with methylated O-6 methylguanine DNA methyltransferase and good performance status (>60%) had better survival. Tumor shrinkage in 24 patients resulted in improved survival compared to 19 in whom tumor was unchanged or progressed (25.3 vs. 11.1 months, p=0.04). Adapted planning target volume allowed a reduction in irradiated volume, while increasing survival (12.06 vs. 28.98 months, p=0.026). CONCLUSION:Tumor response during CRT has significant impact on the outcome. Adaptation of the planning target volume to the tumor changes proved to be beneficial and warrants further investigation.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

VÉgvÁry Z,DarÁzs B,Paczona V,Dobi Á,Reisz Z,Varga Z,Fodor E,CserhÁti A,OlÁh J,Kis D,BarzÓ P,HideghÉty K

doi

10.21873/anticanres.14425

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

4237-4244

issue

8

eissn

0250-7005

issn

1791-7530

pii

40/8/4237

journal_volume

40

pub_type

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