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. 2015 Apr 20;2(2):133–146. doi: 10.2217/hep.15.7

Table 2. . Liver directed radiation outcomes for hepatocellular carcinoma with tumor vein thrombosis.

Author Institution Study design Pts Tumor size (range) Prior non-RT trtmt (%) Trtmt Dose (range) in Gy Fx ORR (%) 1-year OS (%) MS (mo) Grade ≥3 toxicity (%) Ref.
Bujold et al. Princess Margaret Hospital Prospective 56 1.8–23.1 cm 52 SBRT 36 (24–54) 6 NR 44 10.6 36 [44]

Xi et al. Guangzhou, China Retrospective 41 NR 100 SBRT 36 (30–48) 6 75.6 50 13 2.40 [86]

Sugahara et al. University of Tsukuba, Japan Retrospective 35 2.5–13 cm 77.8 Proton 72.6 (55–77) GyE 2.2–5.5 GyE/fx 63 Primary 48 at 2 years 22 8.60 [87]
                  55.6 TVT       [87]

Choi et al. Catholic University, Korea Retrospective 9 3.9–47.7 ml 83.9§ SBRT 36 (30–39) 3 44.4 43.20 8 16 [88]

Yoon et al. Asan Medical Center, Korea Retrospective 412 2–21 cm NR 3D-CRT + TACE 40 (21–60) 2–5 Gy/fx 28 Primary 43 10.6 10 [89]
                  39.6 TVT       [89]

Rim et al. Korea University Medical Center Retrospective 45 1.5–17.3 cm 93.3 3D-CRT 61.2 (38–65) 1.8–2.5 Gy/fx 62.3 TVT 52 13.9 2 [90]

Chuma et al. Hokkaido University, Japan Retrospective 20 6–14.5 cm 55 3D-CRT + intra-arterial-5FU and SubQ-IFN 30–48 6–20 60 TVT NS 10.6 15 [91]

Huang et al. Kaohsiung Medical Center, Taiwan Retrospective 326 ≥10cm in 39% NR 3D-CRT 60 20–30 17.1 TVT 17 3.8 0 [92]

Kang et al. Navy General Hospital, Beijing, China Retrospective 101 NR NR SBRT → TACE 40.2 (21–60) 6 88.2 58.8 17 32.4 [93]

            TACE → SBRT     89.2 54.1 15 40.5 [93]

            SBRT     83.3 500 12 30.0 [93]

Lin Taipei, Taiwan Prospective 9 7 6.5 cm (median) 13.8 cm (median) NR Fractionated SBRT 3D-CRT 45
45
15
25
75
84
NR 6
6.7
NR [94]

Grade 3+ toxicity reported for all patients with and without TVT.

Did not specify prior trtmt for patients w/versus w/o TVT.

§Includes additional pts without TVT.

3D-CRT: 3D conformal radiation therapy; CP Class: Child–Pugh class; Fx: Fractions; LC: Local control; KIRMS: Korea institute of radiological and medical sciences; NR: Not reported; MS: Median survival; ORR: Overall response rate (CR+PR), specified response for primary tumor and TVT when available; OS: Overall survival; Pts: Patients; SBRT: Stereotactic body radiotherapy; SubQ-IFN: Subcutaneous interferon; TACE: Trans-arterial chemoembolization; Trtmt: Treatment; TVT: Tumor vein thrombosis.

Adapted with permission from [62] © The Oncologist (2014).