Research Article

Transformation of Physical DVHs to Radiobiologically Equivalent Ones in Hypofractionated Radiotherapy Analyzing Dosimetric and Clinical Parameters: A Practical Approach for Routine Clinical Practice in Radiation Oncology

Table 2

Patients’ characteristics and EORTC/RTOG acute toxicity for prostate (rectal toxicity) and breast (skin toxicity) cancer.

Prostate cancer ( )

Median age (range) 70 (63–78)
T1 (%) 19/50 (38%)
T2 (%) 31/50 (62%)
Mean PSA (range)8.142 (6.5–9.9)

EORTC/RTOG rectal acute toxicity
Grade 0Grade 1Grade 2Grade 3Grade 4

Increased frequency or change in quality of bowel habits not requiring medication/rectal discomfort not requiring analgesicsDiarrhea requiring parasympatholytic drugs/mucous discharge not necessitating sanitary pads/rectal or abdominal pain requiring analgesicsDiarrhea requiring parenteral support/severe mucous or blood discharge necessitating sanitary pads/abdominal distention Acute or subacute obstruction, fistula, or perforation; GI bleeding requiring transfusion; abdominal pain or tenesmus requiring tube decompression or bowel diversion
(%)35/50 (70%)14/50 (28%)1/50 (2%)— (0%)— (0%)

Breast cancer ( )
Median age (range) 56 (44–72)
T1 (%) 35/50 (70%)
T2 (%) 15/50 (30%)
Menopausal (%)43/50 (86%)

EORTC/RTOG acute skin toxicity
Grade 0Grade 1Grade 2Grade 3Grade 4

Follicular, faint, or dull erythema/epilation/dry desquamation/decreased sweatingTender or bright erythema, patchy moist desquamation/moderate edemaConfluent, moist desquamation other than skin folds, and pitting edemaUlceration, hemorrhage, and necrosis
N (%)13/50 (26%)13/50 (26%)19/50 (38%)5/50 (10%)— (0%)