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高级别脑胶质瘤术后同步加量与序贯加量调强放疗疗效比较
李锋, 王国辉, 常晓静, 李昊楠, 刘会芝, 盖晓惠
河北医科大学第二医院放疗科,石家庄 050000
Comparison of clinical efficacy between postoperative simultaneous and sequential integrated boost intensity-modulated radiotherapy for high-grade glioma
Li Feng, Wang Guohui, Chang Xiaojing, Li Haonan, Liu Huizhi, Ge Xiaohui
Department of Radiation Oncology, The second hospital of Hebei medical university, Shi Jiazhuang 050000, China
Abstract：Objective To compare the efficacy and side effects between simultaneous and sequential integrated boost intensity-modulated radiotherapy after operation for high-grade glioma. Methods We retrospectively analyzed 142 patients with high-grade glioma who underwent postoperative radiotherapy from January 2010 to December 2017. All patients were divided into the simultaneous and sequential integrated boost intensity-modulated radiotherapy groups. Concurrent temozolomide chemotherapy was delivered during radiotherapy in two groups. The follow-up outcomes were statistically compared between two groups. Results For the whole group, the median overall survival (OS) was 24 months, the median progression-free survival (PFS) was 17 months, and the median disease-free survival (DFS) was 25 months. In the simultaneous and sequential integrated boost intensity-modulated radiotherapy groups, the median OS were 27.2 and 21.0 months (P=0.950), the median PFS were 21.2 and 15.0 months (P=0.21), and the median DFS were 28.0 and 18.0 months (P=0.171), and the disease control rates were 92.86% and 85.17%(P=0.541), respectively. There was no statistical difference in OS, PFS, DFS, short-term efficacy and side effects between two groups. However, the conformity index in the simultaneous integrated boost intensity-modulated radiotherapy group was better than that in the sequential integrated boost intensity-modulated radiotherapy group (P=0.032). Conclusions Postoperative simultaneous and sequential integrated boost intensity-modulated radiotherapy yield no statistical differences in the survival, short-term efficacy and side effects in the treatment of high-grade glioma. However, the conformity index in the simultaneous integrated boost intensity-modulated radiotherapy group is significantly better, which can be recommended for postoperative radiotherapy of high-grade glioma.
Li Feng,Wang Guohui,Chang Xiaojing et al. Comparison of clinical efficacy between postoperative simultaneous and sequential integrated boost intensity-modulated radiotherapy for high-grade glioma[J]. Chinese Journal of Radiation Oncology, 2022, 31(6): 513-518.
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