Table 2.
Patient 1 | Patient 2 | Patient 3 | Patient 4 | |
---|---|---|---|---|
Clinical scenario | 75-year-old woman T1bN0 NSCLC |
67-year-old man T2aN0 NSCLC |
54-year-old man Oligometastatic NSCLC |
49 year-old man Oligometastatic colorectal cancer |
Tumor location | LLL | LLL | LLL | LLL |
Tumor size | 2.4 × 2.1 cm | 4.1 × 3.6 cm | 2.9 × 1.7 cm | 2.4 × 2.3 cm |
History of anti-VEGF therapy | No | No | Yes | Yes |
Prescription dose | 4500 cGy (9 Gy × 5) |
4500 cGy (9 Gy × 5) |
4500 cGy (9 Gy × 5) |
5000 cGy (10 Gy × 5) |
Cause of death | Sepsis from pneumonia, 8 months after SBRT |
Acute respiratory failure and pneumonia, 7 months after SBRT |
Acute pulmonary hemorrhage, 10 months after SBRT |
Acute pulmonary hemorrhage, 9 months after SBRT |
GTV/PTV size (mL) | 24.2/93.3 | 74.4/181 | 16.0/99.6 | 20.2/94.7 |
Max point dose to PBT/NFZ (cGy) | 4488/4776 | 4501/4526 | 4720/4940 | 5144/5406 |
Ipsilateral/bilateral lung V20 (%) | 19.4/8.8 | 22.0/8.2 | 18.4/7.4 | 24.5/11.0 |
GTV, gross tumor volume; L, left; LLL, left lower lobe; NFZ, no-fly zone; NSCLC, non-small cell lung cancer; PBT, proximal bronchial tree; PTV, planning target volume; SBRT, stereotactic body radiation therapy; V20, percentage of normal tissue receiving 20 Gy or greater; VEGF, vascular endothelial growth factor.