J 2017

Left hippocampus sparing whole brain radiotherapy (WBRT): A planning study

KAZDA, Tomáš, Miroslav VRZAL, Tomas PROCHAZKA, Petr DVORACEK, Petr BURKOŇ et. al.

Základní údaje

Originální název

Left hippocampus sparing whole brain radiotherapy (WBRT): A planning study

Autoři

KAZDA, Tomáš (203 Česká republika, garant, domácí), Miroslav VRZAL (203 Česká republika), Tomas PROCHAZKA (203 Česká republika), Petr DVORACEK (203 Česká republika), Petr BURKOŇ (203 Česká republika, domácí), Petr POSPÍŠIL (203 Česká republika, domácí), Adam DZIACKY (703 Slovensko, domácí), T. NIKL (203 Česká republika), Radim JANČÁLEK (203 Česká republika, domácí), Pavel ŠLAMPA (203 Česká republika, domácí) a Radek LAKOMÝ (203 Česká republika, domácí)

Vydání

Biomedical Papers, Olomouc: Palacky University, Olomouc, Palacky University, 2017, 1213-8118

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

20601 Medical engineering

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.087

Kód RIV

RIV/00216224:14110/17:00098710

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.5507/bp.2017.031

UT WoS

000418005200010

Klíčová slova anglicky

brain metastases; hippocampus; memory; cognition; HA WBRT

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 20. 3. 2018 14:26, Soňa Böhmová

Anotace

V originále

Aims. Unilateral sparing of the dominant (left) hippocampus during whole brain radiotherapy (WBRT) could mitigate cognitive decline, especially verbal memory, similar to the widely investigated bilateral hippocampus avoidance (HA-WBRT). The aim of this planning study is dosimetrical comparison of HA-WBRT with only left hippocampus sparing (LHA-WBRT) plans. Methods. HA-WBRT plans for 10 patients were prepared in accordance with RTOG 0933 trial and served as baseline for comparisons with several LHA-WBRT plans prepared with an effort: 1) to maintain the same left hippocampus dosimetry ("BEST PTV") and 2) to maintain same dosimetry in planning target volume as in HA-WBRT ("BEST LH"). Results. All HA-WBRT plans met RTOG 0933 protocol criteria with a mean Conformity index 1.09 and mean Homogeneity index (HI) 0.21. Mean right and left hippocampal D100% was 7.8 Gy and 8.5 Gy and mean Dmax 14.0 Gy and 13.8 Gy, respectively. "BEST PTV" plans reduced HI by 31.2% (P=0.005) which is mirrored by lower PTV_D2% (-0.8 Gy, P=0.005) and higher PTV_D98% (+1.3 Gy, P=0.005) as well as decreased optic pathway's Dmax by 1 Gy. In "BEST LH", mean D100% and Dmax for the left hippocampus were significantly reduced by 11.2% (P=0.005) and 10.9% (P=0.005) respectively. Conclusions. LHA-WBRT could improve target coverage and/or further decrease in dose to spared hippocampus. Future clinical trials must confirm whether statistically significant reduction in left hippocampal dose is also clinically significant.
Zobrazeno: 5. 11. 2024 07:31