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Efficacy of Whole-Brain Radiotherapy Plus Simultaneous Integrated Boost (SIB-WBRT) for Lung Cancer Brain Metastases.

作者信息

Bi Qian, Shen Jing, Li Pengyu, Zeng Yuhao, Lian Xin, Zhang Fuquan

机构信息

Department of Radiation Oncology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Department of General Surgery, Peking Union Medical College Hospital (PUMCH), Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.

出版信息

J Cancer. 2024 Jul 2;15(14):4636-4642. doi: 10.7150/jca.95804. eCollection 2024.


DOI:10.7150/jca.95804
PMID:39006075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11242338/
Abstract

To investigate the outcomes of SIB-WBRT in patients with brain metastases and analyze the impact of some factors on prognosis. This single-arm retrospective study analyzed patients with brain metastases who were treated with SIB-WBRT at Peking Union Medical College Hospital from September 2015 to December 2021. The primary endpoint was intracranial progression free survival (iPFS). Secondary endpoints included overall survival (OS), intracranial new foci, and tumor control. The Kaplan-Meier method was then used to depict and estimate iPFS, OS, intracranial neoplasia, and tumor control. Finally, the Cox model was used to analyze the association between some relevant factors and outcomes. A total of 107 patients were included and the median iPFS in these patients treated with SIB-WBRT was 13.4 (95% CI: 4.2-22.6) months, with 68.0% (95% CI: 57.4%-78.6%) and 50.8% (95% CI: 38.3%-63.3%) iPFS at 6- and 12-months. The median local control was 37.6 (95% CI: 28.3-46.8) months, with local control rates of 84.3% (95% CI: 80.6%-88.0%) and 73.3% (95% CI: 68.2%-78.4%) at 6- and 12-months. The median time to appearance of new intracranial foci was 17.4 (95% CI: 14.1-20.8) months, and the 6- and 12-month control rates were 74.5% (95% CI: 64.5%-84.5%) and 61.5% (95% CI: 49.0%-74.0%). The number of brain metastases in patients before treatment was significantly associated with iPFS (HR=0.4, 95% CI: 0.2-0.973, =0.043). The iPFS, local control, and intracranial new foci of patients with brain metastases after treatment with SIB-WBRT were acceptable. In addition, the number of brain metastases in patients before treatment may be associated with iPFS.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08a8/11242338/0010df5485dc/jcav15p4636g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08a8/11242338/0010df5485dc/jcav15p4636g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08a8/11242338/0010df5485dc/jcav15p4636g001.jpg

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本文引用的文献

[1]
Exploration of radiotherapy strategy for brain metastasis patients with driver gene positivity in lung cancer.

J Cancer. 2024-2-12

[2]
Comparisons of EQ-5D-Y and PedsQL in pediatric patients with mild-to-moderate chronic kidney disease in longitudinal analyses.

Health Qual Life Outcomes. 2023-10-27

[3]
The First Survival Score for Patients Treated with Whole-Brain Radiotherapy Plus Simultaneous Integrated Boost for Brain Metastases.

Biology (Basel). 2023-4-12

[4]
Chemoradiotherapy in geriatric patients with squamous cell carcinoma of the esophagus: Multi-center analysis on the value of standard treatment in the elderly.

Front Oncol. 2023-3-3

[5]
Factors for incidence risk and prognosis of synchronous brain metastases in pulmonary large cell carcinoma patients: a population-based study.

BMC Pulm Med. 2023-1-12

[6]
NCCN Guidelines® Insights: Central Nervous System Cancers, Version 2.2022.

J Natl Compr Canc Netw. 2023-1

[7]
Detecting the Research Trends and Hot Spots in External Irradiation Therapy for Rectal Cancer.

J Cancer. 2022-4-4

[8]
Whole-Brain Radiation Therapy With Simultaneous Integrated Boost Versus Whole-Brain Radiation Therapy Plus Stereotactic Radiosurgery for the Treatment of Brain Metastasis From Lung Cancer.

Front Oncol. 2021-3-5

[9]
Phase II trial of hippocampal-sparing whole brain irradiation with simultaneous integrated boost for metastatic cancer.

Neuro Oncol. 2020-12-18

[10]
Hippocampus-avoidance whole-brain radiation therapy with a simultaneous integrated boost for multiple brain metastases.

Cancer. 2020-6-1

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