Table 3.
Deaths reported in studies on SABR for central lung tumors only.
| Reference | Dose prescribed | Immediately adjacent organs | Dose to critical organs | Cause of death/time of death |
|---|---|---|---|---|
| Haasbeek et al. (30) | 60 Gy/8 frx | Pericardium overlapping the target volume R hilum | Unknown | Cardiac event 2.5 years after SABR Respiratory failure |
| Rowe et al. (32) | 50 Gy/4 frx to a metastasis from melanoma | L mainstem bronchus | Airway point dose: 54.2 Gy Airway5cc dose: 12.7 Gy (overall: 14.7 Gy) | Hemorrhage with bronchial necrosis in the region of the maximum point dose 10.5 months after SABR |
| Oshiro et al. (33) | 25 Gy/1 frxa | Hilum of unknown side | Unknown | Hemoptysis 18 months after SABR |
| Unger et al. (34) | 30–40 Gy/5 frx to an endobronchial lesion from mesothelioma | Unknown mainstem bronchus | Maximum point dose: 49 Gy | Bronchial fistula related, 7 months after SABR |
| Milano et al. (35) | 49.5 Gy/11 frx to one central NSCLC followed by 48 Gy/4 frx 15 months later | Bronchus | Bronchus received 98 Gy cumulatively | Hemoptysis 6.5 months after second course of SABR |
| 50 Gy/10 frx to one central and one peripheral NSCLC followed by 50 Gy/10 frx to three new central lesions and one bulky recurrence of the previously treated peripheral lesion 11 months later | Bronchus and trachea | Unknown | Dyspnea 2 weeks after second course of SABR | |
| 35–50 Gy/10 frx to five central NSCLC | Bronchus and trachea | Unknown | Bronchitis 6 months after second course of SABR | |
| 35 Gy/14 frx then 18 Gy/6 frx to three central NSCLC and 50 Gy/10 frx to one peripheral NSCLC | Bronchus (0.5 cm from tumor) and trachea (1 cm from tumor) | Unknown | Dyspnea 4 months after SABR |
aAfter previous intra-tracheobronchial brachytherapy to bilateral hilar lesions and SABR to the apical area of the same lobe.