Table 1.
Study characteristics of the included RCTs evaluating PCI.
Study | Year of publication | Local treatment | Stage | Brain imaging | PCI dose | Primary endpoint | Na | Systematic Follow-up for BM |
---|---|---|---|---|---|---|---|---|
VALG | 1981 | RT alone | Allb | Radionuclide scan | 10 Gy × 2 Gy | BM rate | 281 | No |
MDACC | 1984 | Chemo-RT | I–III | Radionuclide scan/CT scan | 10 Gy × 3 Gy | CNS metastases rate | 97 | No |
RT alone | ||||||||
RTOG 8403 | 1991 | RT alone | I–III | CT scan | 10 Gy × 3 Gy | Time to BM | 187 | No |
Surgery and RT | ||||||||
SWOG | 1998 | Chemo-RT | III | Unclear | 15 Gy × 2–2.5 Gy | OS rate | 226 | Not reported |
RT alone | ||||||||
RTOG 0214 | 2012 | Chemo-RT | III | MRI scan | 15 Gy × 2 Gy | OS rate | 340 | Yes |
Li | 2015 | Surgery-chemo | IIIA | MRI scan | 10 Gy × 3 Gy | DFS | 156 | Yes |
NVALT-11 | 2018 | RT alone | III | CT scan/MRI scan | 18 Gy × 2 Gy/12 Gy × 2.5 Gy/10 Gy × 3 Gy | Symptomatic BM rate | 175 | Yes |
aNumber of eligible patients.
bAll inoperable patients; stage not clear.
PCI, prophylactic cranial irradiation; RT, radiotherapy; Chemo; chemotherapy; BM, brain metastases; CNS, central nervous system; OS, overall survival; DFS, disease-free survival; RCTs, randomized controlled trials.