Clinical Study

Repeat Whole Brain Radiation Therapy with a Simultaneous Infield Boost: A Novel Technique for Reirradiation

Table 4

Literature summary.

Shehata et al. [6]Kurup et al. [7] Hazuka and Kinzie [8]Cooper et al. [9]Wong et al. [10]Abdel-Wahab et al. [12]Sadikov et al. [11]Son et al. [13]Present study

Number of patients355644528615721716
Initial RT fractionation
(dose Gy/num frac)
35/10
30/10
18/3
20/5
30/10
30/1030/1030/1035/1020/535/1435/14
Repeat WBRT fractionation
(dose Gy/num frac)
10/120/1025/825/1020/1030/20 BID
(partial brain)
25/1021.6/1220/10 WB
30/10 SIB boost
Time between initial and repeat WBRT
(months)
NR6.37.8>4 7.610 9.6 15 11.3
Response
 Improved68%75%27%42%70%60%40%80%46%
 Stable25%12.5%41%52%29%27%33%20%40%
Survival (months)NR3.52443.24.15.22.7
Percentage of patients with solitary lesion at the time of repeat WBRTNRNRNRNR45%NR14%NR0%

NR: not reported, WBRT: whole brain radiation therapy, Gy: gray, Num: number, and Frac: fractions.
Table is adapted from that presented by Sadikov et al. and Son et al. [11, 13].