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. Author manuscript; available in PMC: 2016 Aug 4.
Published in final edited form as: Pract Radiat Oncol. 2015 Nov 11;6(2):e27–e33. doi: 10.1016/j.prro.2015.09.012

Table 2.

Characteristics of patients experiencing SBRT-related death

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.