Table 2.
Studies Comparing Photon Versus Proton Involved Node/site Radiotherapy In Lymphoma
No. | Clinical Scenario | Delivery Technique | Organs At Risk | Other | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
FB | DIBH | |||||||||||||||
Localization | 3DCRT | mRT | PT | IMRT | PT | Heart | Lung | Breasts | Thyroid | Esophagus | Body | |||||
Clinical stage I–II | ||||||||||||||||
Chera57 | 9 | Primary | Upper mediastinal | 274C | x | x | x | x | x | x | ||||||
Horn58 | 14 | Primary | Mediastinal | x | Tomo | PS | x | x | x | x | ||||||
Jørgensen52 | 46 | Primary | Supra-diaphragmatic | x | VMAT | PBS | x | |||||||||
Maraldo53 | 27 | Primary | Mediastinal | x | VMAT | PBS | x | x | x | |||||||
Maraldo54 | 46 | Primary | Supra-diaphragmatic | x | VMAT | PBS | Carotid arteries | |||||||||
Maraldo55 | 37 | Primary | Cervical involvement | x | VMAT | PBS | x | Neck, thyroid, pharynx, larynx, salivary & parotid glands | ||||||||
Rechner44 | 22 | Primary | Mediastinal | IMRT | PBS | IMRT | PBS | x | x | x | ||||||
Clinical stage I–IV | ||||||||||||||||
Baues45 | 21 | Primary | Mediastinal | VMAT | PBS | x | x | x | ||||||||
Hoppe49 | 20 | Primary and R/R | Mediastinal | x | IMRT | PS | x | x | x | x | x | x | ||||
Hoppe50 | 13 | Primary and R/R | Mediastinal | x | IMRT | PS | Cardiac substructures | |||||||||
Knausl48 | 10 | Primary | N/A | x | IMRT | PS | x | x | x | x | Bones | |||||
König26 | 20 | Primary | Mediastinal | Tomo | PBS | x | x | x | x | Spinal cord | ||||||
Li47 | 10 | R/R | Upper mediastinal | x | x | x | x | Coronary arteries | ||||||||
Sachsman51 | 12 | Primary and R/R | Sub-/infra-diaphragmatic | X | IMRT | PS | Stomach, liver, pancreas, bowel, kidneys | |||||||||
Stage N/A | ||||||||||||||||
Everett46 | 21 | ? | Lower mediastinal | Butterfly IMRT | PS | Butterfly IMRT | PS | x | x | x | x | x | LADCA | |||
Zeng56 | 10 | At least one R/R | Mediastinal | x | IMRT | PBS | x | x | x | Spinal cord |
Abbreviations: 3DCRT, 3-dimensional conformal radiotherapy; DIBH, deep inspiration breath-hold; FB, free breathing; IMRT, intensity modulated radiotherapy; LADCA, left artery descending coronary artery; mRT, modern radiotherapy; N/A, not available; PBS, pencil beam scanning proton therapy; PS, passive scatter proton therapy; PT, proton therapy; R/R, relapsed/refractory disease; Tomo, helical tomotherapy; VMAT, volumetric arc therapy.