Table 1.
Proton CSI (n=19) | Photon CSI (n=21) | |
---|---|---|
Median (range) | Median (range) | |
Age at RT (years) | 29.9 (16.9–49.9) | 32.7 (16.6–60.4) |
Follow-up (months) | 26.3 (11–63)† | 57.1 (4–103)† |
Height (cm) | 175 (154–191) | 179 (147–194) |
Gender | n (%) | n (%) |
Male | 14 (74%) | 12 (57%) |
Female | 5 (26%) | 9 (43%) |
Chang Stage | ||
M0 | 18 (95%)* | 15 (71%)* |
M1 | 0 | 1 (5%) |
M2 | 1 (5%) | 0 |
M3 | 0 | 4 (19%) |
M4 | 0 | 1 (5%) |
Gross residual tumor at RT | ||
< 1.5 cm2 | 14 (74%) | 17 (81%) |
≥ 1.5 cm2 | 5 (26%) | 4 (19%) |
Risk Group | ||
Average | 14 (74%) | 14 (67%) |
High | 5 (26%) | 7 (33%) |
Histology | ||
Classical | 13 (68%) | 16 (76%) |
Desmoplastic | 6 (32%) | 4 (19%) |
Anaplastic | 0 | 1 (5%) |
Chemotherapy | ||
Any | 16 (84%) | 17 (81%) |
Before RT | 4 (21%) | 7 (33%) |
During RT | 5 (26%) | 5 (24%) |
After RT | 15 (79%) | 13 (62%) |
Prescribed CSI dose | ||
23.4–26 Gy | 6 (32%) | 4 (19%) |
30 Gy | 4 (21%) | 8 (38%) |
36–40 Gy | 9 (47%) | 9 (43%) |
Prescription dose (Gy-RBE; Gy) | Median (range) | Mean (SD) | Median (range) | Mean (SD) |
---|---|---|---|---|
CSI | 30.6 (23.4–36) | 30.9 (5.6) | 30.6 (23.4–40) | 31.9 (4.7) |
Boost | 23.4 (18–30.6) | 23.7 (5.2) | 21.6 (14–30.6) | 21.5 (4.3) |
Total | 54 (54–57.8) | 54.6 (1.1) | 54 (25.5–56) | 52.9 (6.3) |
Mean normal structure dose (%) | ||||
Thyroid (% CSI dose) | 0.009% (0.006–0.69%)‡ | 0.05% (0.16)‡ | 79% (54–86%)‡ | 78% (7.2)‡ |
Right Cochlea (% total dose) | 60% (44–91%) | 65% (12.9) | 67% (50–97%) | 67% (10.8) |
Left Cochlea (% total dose) | 69% (44–84%) | 65% (10.7) | 71% (54–100%) | 74% (13.4) |
Pituitary (% total dose) | 63% (44–75%) | 61% (9.2) | 67% (50–75%) | 66% (6.7) |
Vertebrae (% CSI dose) | 69% (58–120%)‡ | 73% (13.6)‡ | 100% (87–111%)‡ | 100% (5.4)‡ |
Abbreviations: CSI= Craniospinal irradiation; RT=Radiation therapy; SD=standard deviation
p= 0.05 comparing M0 with M1-4
p= 0.004
p<0.0001