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. 2017 Jun 29;11:750. doi: 10.3332/ecancer.2017.750

Table 2. Randomised control trials of IORT versus WBI in early-breast cancer.

Trial name Sample size Age Inclusion criteria IORT type IORT dose Trial design Local recurrence (5yr) Overall survival/mortality (5yr)
ELIOT [28] 1305 median follow-up: 5.8 years > 48 years any invasive cancer < 2.5 cm IOERT ELIOT:21 Gy/1# to tumour bed with 6–9 MeV electrons
WBI:50 Gy/25# + 10 Gy/5# boost
Equivalence trial:
Statistical margin was local recurrence of 7.5% in the IORT group
ELIOT:4.4% (95% C.I: 2.7–6.1)
WBI: 0.4%
p < 0.0001
ELIOT:96.8%
WBI: 96.9%
TARGIT-A [27]
3451 Median follow-up:
2.5 years
> 45years T1-2, N0, 1 IDC < 3.5 cm
(If EIC or ILC on final histology,
add whole breast RT)
X-ray IORT (50 kv X-ray) TARGIT: 20 Gy to tumour bed
5–7 Gy at 1 cm depth
WBI: 40–56 Gy with or without boost 10–16 Gy
Non-inferiority trial:
Statistical margin was 2.5% difference in local recurrence at 5 years
TARGIT:3.3% (95% CI: 2.1–5.1)
WBI:1.3%
(95% CI: 0.7–2.5)
p = 0.042
TARGIT:3.9%
WBI: 5.3
p = 0.009

EIC: extensive intraductal component, ILC: invasive lobular cancer, WBI: whole breast RT.