Dosimetric comparison of Gamma Knife® IconTM and linear accelerator-based fractionated stereotactic radiotherapy (FSRT) plans for the re-irradiation of large (>14 cm3) recurrent glioblastomas

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Our objective is to investigate dosimetric differences between clinically deliverable Gamma Knife® (GK) Icon™ and linac-based FSRT plans on the basis of normal brain dose sparing for large (>14 cm3) recurrent glioblastomas (GBM). Sixteen patients with large, recurrent GBM were treated using re-irradiation via linac-based FSRT, 35 Gy in 10 fractions. For each patient, a new GK FSRT plan was created in Leksell GammaPlan® V11 (LGP). To maintain clinical deliverability, the LGP optimization included a planning goal of treatment time <20 minutes per fraction. Dosimetric comparison of coverage and normal brain dose between the linac and GK treatment plans was performed in MIM. The GK FSRT plans had significantly (p < 0.05) lower mean normal brain dose values (-8.85%), mean values of normal brain V20 (-32.4%) and V12 (-25.9%), and a lower mean V4 (-10.0%). GK FSRT plans have the potential to reduce the risk of radiation-related toxicities.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:7

Enthalten in:

Journal of radiosurgery and SBRT - 7(2021), 3 vom: 16., Seite 233-243

Sprache:

Englisch

Beteiligte Personen:

Schelin, Matthew E [VerfasserIn]
Liu, Haisong [VerfasserIn]
Ali, Ayesha [VerfasserIn]
Shi, Wenyin [VerfasserIn]
Yu, Yan [VerfasserIn]
Mooney, Karen E [VerfasserIn]

Themen:

Fractionated stereotactic radiotherapy
Gamma Knife Icon
Glioblastoma
Journal Article
Recurrence

Anmerkungen:

Date Revised 02.01.2022

published: Print

Citation Status PubMed-not-MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM324516312