Table 3.
Clinical and Treatment Details of Patients With Common Terminology Criteria for Adverse Events Version 5.0 Grade 2 or Higher Treatment-Related Pneumonitis
| Patient | Pneumonitis grade | Age/Sex | Osimertinib delivery | Tumor location | Prescription | MLD (Gy) | V5 | V20 | Pulmonary comorbidity | Smoking history | Concurrent chemotherapy | Time to Pneumonitis (mo) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 5 | 70/F | Held for RT | Peripheral lung | 6 Gy ×5 | 2.8 | 9.2 | 2.8 | None | Former (20PY) | No | 3.2 |
| 2 | 5 | 95/F | Held for RT | Central | 8 Gy ×5 | 4.75 | 25.3 | 4.0 | None | Never smoker | No | 4.4 |
| 3 | 3 | 62/F | Held for RT | Ultracentral | 4 Gy ×13 | 11.2 | 44.8 | 17.7 | None | Never smoker | No | 5.4 |
| 4 | 3 | 49/F | Held for RT | Ultracentral | 2.5 Gy ×12 | 2.7 | 12.5 | 4.8 | Prior radiation to the same lung lesion | Never smoker | Yes | 4.5 |
| 5 | 3 | 72/F | Overlapping with RT | Thoracic spine | 3 Gy ×10 | 3.73 | 19.7 | 4.7 | Prior pneumonectomy | Former (20PY) | No | 1.6 |
| 6 | 2 | 66/F | Held for RT | Ultracentral | 2 Gy ×30 | 18 | 59.1 | 29.7 | None | Never smoker | Yes | 2.1 |
| 7 | 2 | 53/F | Held for RT | Ultracentral | 7.5 Gy ×8 | 6.8 | 24.1 | 10.3 | Asthma | Former (25PY) | No | 6.3 |
| 8 | 2 | 74/F | Held for RT | Ultracentral | 7.5 Gy ×8 | 5.3 | 18.5 | 8.9 | COPD, lobectomy + wedge resection | Former (45PY) | No | 3.5 |
| 9 | 2 | 51/F | Held for RT | Peripheral | 18 Gy ×3 | 1.9 | 7.0 | 2.5 | None | Never smoker | No | 5.3 |
| 10 | 2 | 72/F | Held for RT | Ultracentral | 2 Gy ×33 | 14.3 | 43.3 | 23.6 | None | Former (20PY) | Yes | 3.1 |
| 11 | 2 | 46/F | Held for RT | Ultracentral | 2 Gy ×33 | 17.6 | 63.6 | 33.0 | None | Never smoker | Yes | 1.5 |
| 12 | 2 | 68/F | Overlapping with RT | Central | 12 Gy ×5 | 6 | 32.3 | 7.2 | Prior pulmonary embolism | Former (45PY) | No | 2.7 |
| 13 | 2 | 63/M | Held for RT | Ultracentral | 3 Gy ×10 | Unavailable | None | Never smoker | No | 2.1 | ||
| 14 | 2 | 73/F | Held for RT | Ultracentral | 8 Gy ×2 | 3.01 | 16.3 | 0.0 | None | Never smoker | No | 2.6 |
F, female; M, male; MLD, mean lung dose; PY, pack-years; RT, radiotherapy; V5, lung volume receiving a dose of ≥5 Gy; V20, lung volume receiving a dose of ≥20 Gy.