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. Author manuscript; available in PMC: 2013 Mar 5.
Published in final edited form as: Int J Radiat Oncol Biol Phys. 2010 Mar 1;76(3 Suppl):S116–S122. doi: 10.1016/j.ijrobp.2009.02.090

Table 1. Risk of late Grade 3 or greater bladder toxicity in patients treated for bladder cancer in selected series not included in Marks et al. (1).

Investigator Patients (n) Simulation imaging Total dose (Gy) Whole-bladder dose (Gy) Partial-bladder dose (Gy) Fraction size (Gy) Fractions (n) EQD2 (Gy) Late Grade ≥3 toxicity (%)
Duncan et al. (9)* 889 2D 55–57.5 55–57.5 2.75–2.88 20 60.2–63.8 17
Moonen et al. (10)* 15 3D 66 66 2 Last 8 b.i.d. 66 0
25 66 66 2 Last 13 b.i.d. 31
Rödel et al.(11)* 186* 2D 45–69.4 45–69.4 1.8–2 25–33 45–69.4 4y
Scholten et al. (12)* 123 2D 36 36 6 6 (2x/wk) 54 0
Mameghan et al. (13)* 330 2D 65 45–65 1.8–2.5 25–30 43.9– 69 2y
Perdona et al. (14)* 121 3D 65 65 1.8 35 63.4 4y
Mangar et al. (15)* (CD) 154 3D 60–64 60–64 2 30–32 60–64 42
75 60–64 48–52 12 2 24–26 52/60–64 23
Cowan et al. (16)*§ 25 3D 52.5 52 2.63 20 56.3 4
 PB 22 57.5 57.5 2.88 20 56.3–63.8 18
 PB 16 55 55 3.44 16 57.1–64.9 6
Yavuz et al. (17) (CD) 87 3D 45/67.5 45 22.5 1.8/1.5 CB 35 43.9–65 1
Pos et al. (18) (CD) 47 3D 55 40 55 40 — 15 2/2.75 CB 20 40/55 9
Shipley et al. (19, 27) (CD) 157 2D 64–65 52–55 12–15 1.8/1.5–1.8 36–42 60.9–62.2 6

Abbreviations: EQD2 =equivalent dose in 2-Gy fractions, assuming α/β =6; 2D = two-dimensional conventional simulation; 3D =CT-based three-dimensional planning; b.i.d. = twice daily; PB = all treatment fields included only part of bladder, as determined by primary tumor site using CT-based planning; CD = first phase included whole bladder followed by cone down to partial bladder with CT-based planning; CB = concomitant boost; CT = computed tomography.

*

Treatment to the whole bladder as localized with contrast or CT.

Concurrent with chemotherapy.

Bladder in treatment fields; cone down from pelvic fields at median dose of 45 Gy.

§

Grade 2 or greater toxicity reported.