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. 2014 Dec 6;9:275. doi: 10.1186/s13014-014-0275-6

Table 2.

Hypofractionated adjuvant/salvage radiotherapy

Reference Study design Institution Patient collection Fractionation(total dose/singel dose/fractions) EQD for tumor α/β ratio 1.4Gy EQD for normal tissue α/β ratio 3Gy IMRT Follow-up Acute GU toxicitiy Late GU toxicity Acute GI toxicity Late GI toxicity Therapeutic outcomes
Cozzarini, C. [23] Prospective phase I-II for adjuvant RT Milan, Italy 247 patients 65.8Gy/2.35Gy/28 fractions adj. RT for 117 pat.; 71.4-72.8Gy/2.55Gy/28 fractions salvage RT for 80 pat.; 58Gy/2.9Gy/20 fractions for 50 pat. Conventional arm 929 pat. 70.2Gy/1.8Gy/39 fractions 72.6Gy adjuvant RT; 83.0Gy salvage RT; 73.4Gy for the other 50 pat. α/β ratio = 5Gy for late GU toxicity! 69.14Gy adjuvant RT; 77.1Gy salvage RT; 65.5Gy for the other 50 pat. Tomo-RT 68 months median - 41/247 (16.5%) ≥ III° GU in hypofraction arm; 72/929 (7.7%) in conventional arm - - -
Kruse, T.J. [26] Retrospective for salvage RT Madison, Wisconsin 108 patients 65Gy/2.5Gy/26 fractions 74.6Gy 71.5Gy IMRT 32.4 months median 8 pat. (7%) II° and 1 pat. III° GU RTOG. 16 pat. (15%) II° GU RTOG. 15 pat. (14%) II GI RTOG. 4 (4%) pat. II° GI RTOG. freedom from biochem. failure at 4 years 67% ± 5.3%.
Ippolito, E. [24] Prospective phase I for dose-escalation, adjuvant RT Campobasso, Italy 25 patients 7 pat. 56.8Gy/2.27Gy/25 fractions; 6 pat. 59.7Gy/2.39Gy/25fractions; 6 pat. 61.25Gy/2.45Gy/25fractions; 6 pat. 62.5Gy/2.5Gy/25 fractions 7 pat. 61.3Gy; 6 pat. 66.5Gy; 6 pat. 69.4Gy; 6 pat. 71.7Gy. 7 pat. 59.9Gy; 6 pat. 64.4Gy; 6 pat. 66.8Gy; 6 pat. 68.8Gy. IMRT 19 months median 9/25 (36%) II° GU. - 5/25 (20%) II° GI. - -
Lee, W. [52] Retrospective for salvage RT Manchester 37 patients 50-52.5Gy/2.5-2.63Gy/20 fractions 57.4-62.2Gy 55-59.1Gy - 30.6 months median 0% II° GU. 16 pat. I° GU, 0 pat. II° GU. 0% II° GI. 4 pat. I° GI, 1 pat. II° GI. 3-year disease-free survival is 74%.