Review Article

Sinonasal Malignancies and Charged Particle Radiation Treatment: A Systematic Literature Review

Table 4

Treatment details of studies focusing on toxicity.

ReferencePatientsTreatment historyRBE1Radiotherapy detailsMedian F/U in months (range)Toxicity evaluatedDiagnostic criteria

Jensen et al., 2011 [45]Full C: 4
Mix. C/Ph: 25
RT: 17
Relapse: 9
Re-RT: 2
naFull C, F/SF: 15–20/3
Mix, TD/F/SF/FW:
C: 24/8/3/5
P: 50/25/2/5
5.1 (2.4–10.8)Any
Acute
Physical examination

Demizu et al., 2009 [46]C: 10
P: 42
Surgery/CMT: 4/0
Surgery/CMT: 4/12
C: 2–3.7
P: 1.1
Carbon, TD/F/SF/FW:
57.6/16/3.6/5
Proton, TD/F/SF/FW:
65/26/2.5/5
2C: 28
2P: 25
Radiation-induced optic neuropathyMRI
CFF

Hasegawa et al., 2006 [47]C: 14nanaTD: 56
F: 16–18
SF: 3.0–4.0
Weeks: 4–6
naRadiation-induced optic neuropathyMRI
VEP

Weber et al., 2006 [48]P/Ph: 36Biopsy: 8
GTR: 28
CMT: 14 (no conc.)
1.1TD: 69.6 (60.8–77)
(20–84.4% protons)
P, SF: 1.6 (1.4–1.8)
Ph, SF: 1.8 (1.6–2.0)
BID fractionation
52.4 (17–122.8)Any late visualNeuro-ophthalmologic evaluation

Miyawaki et al., 2009 [49]C: 5
P: 23
All had biopsy or STRnaCarbon: 57.6/16/2.5
Proton TD/F/SS:
65/26/2.5
2C: 32
2P: 39
Radiation-induced brain changesMRI
Physical examination

1Doses expressed in Gy (RBE), numbers are median values or range if separated by a tract, 2Data refers to a wider group of head and neck patients, F/U: followup, C: carbon ion, Mix.: mixed, RT: radiotherapy, Re-RT: re-irradiation, Ph: photons, P: protons, CMT: chemotherapy, TD: total dose, F: number of fractions, SF: single fraction dose, FW: fractions a week, CFF: critical flicker frequency, VEP: visual evoked potential, na: not available, GTR: gross total resection, STR: subtotal resection, conc.: concomitant, BID: bis in die.