Table 1.
Characteristics and Clinical Course of Patients With Radiation Necrosis
| Patient’s number | Age in years | Diagnosis* | Total dose [Gy] | Administration of chemotherapy during radiotherapy | Interval between radiotherapy and occurrence of radiation necrosis in months | Location of radiation necrosis in relation to the primary tumor | Symptoms | Type of surgery | Treatment with steroids | Treatment with Avastin | Recurrent tumor at further follow-up |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 58 | Oligodendroglioma WHO II° | 60 | No | 31 | Local | No | GTR | No | No | No |
| 2 | 32 | Oligodendroglioma WHO II° | 54 | Yes | 4 | Local | No | GTR | Yes | No | No |
| 3 | 54 | Oligodendroglioma WHO II° | 54 | No | 22 | Local | Yes | GTR | Yes | No | Yes |
| 4 | 65 | Oligodendroglioma WHO II° | 54 | No | 6 | Local | No | GTR | No | No | No |
| 5 | 34 | Oligodendroglioma WHOII° | 60 | No | 22.5 | Distal | no | Partial resection | Yes | No | No |
| 6 | 67 | Oligodendroglioma WHO II° | 60 | Yes | 4 | Distal | Yes | GTR | No | No | No |
| 7 | 67 | Oligodendroglioma WHO III° | 60 | Yes | 37 | Distal | No | Biopsy | Yes | Yes | Yes |
| 8 | 60 | Oligodendroglioma WHO III° | 54 | Yes | 9 | Local | Yes | GTR | No | No | No |
| 9 | 65 | Oligodendroglioma WHO III° | 60 | No | 18 | Local | No | GTR | No | No | No |
| 10 | 28 | Oligodendroglioma WHO III° | 60 | Yes | 21 | Local | No | GTR | No | No | No |
| 11 | 80 | Glioblastoma WHO IV° | 60 | Yes | 4 | Local | No | GTR | No | No | No |
| 12 | 82 | Glioblastoma WHO IV° | 60 | Yes | 40 | Distal | No | GTR | No | No | No |
| 13 | 62 | Glioblastoma WHO IV° | 60 | Yes | 4 | Local | No | GTR | No | No | No |
| 14 | 35 | Glioblastoma WHO IV | 59.4 | Yes | 3 | Distal | No | Partial resection | Yes | Yes | No |
*According to the 2007 World Health Organization Classification of Tumors of the Central Nervous System or its later version (2016) [9, 10]. GTR = gross total resection, Gy = gray, GTV = gross tumor volume, CTV = clinical target volume, PTV = planning target volume, Dmax = maximum dose, D0.1cm3 = dose in 0.1 cm3, VMAT = volumetric intensity-modulated arc therapy, IMRT = intensity-modulated radiation therapy, N/A = not available.