Table 2.
Radiation therapy details for studies incorporating radiation therapy for the treatment of advanced stage Hodgkin lymphoma
Trial | Radiation fields | PET era | Radiation dose |
---|---|---|---|
UK Lymphoma Group LY094 | Initial bulky disease (>1/3 transthoracic ratio or >10 cm outside of chest) or residual CT mass | No | Variable (minimum 30 Gy ranging to >39 Gy) |
EORTC11 | IFRT to all sites of originally involved nodal areas + extranodal sites with or without a boost | No | 24 Gy to nodal sites if CR; 30 Gy (± 4-10 Gy boost) to nodal sites if PR; 18-24 Gy to extranodal sites |
GHSG HD1212 | Sites of initial bulky disease (defined as ≥5 cm) or residual disease ≥1.5 cm on CT; also bone lesions with instability risk; whole anatomic region encompassed in volume | No | 30 Gy |
GHSG HD157 | RT for persistent postchemotherapy PET-avid mass ≥2.5 cm and bone lesions regardless of residual PET activity if instability/fracture risk; 1.5 cm margin used | Yes | 30 Gy |
ECOG E249614 | Bulky disease (defined as mass greater than one-third of the maximum intrathoracic diameter on standing posteroanterior chest x-ray in ABVD arm; any pretreatment sites of disease >5 cm in Stanford V arm) | No | 36 Gy |
GITIL/FIL trial HD 060715 | Bulky disease (defined as ≥5 cm) | Yes | 30 Gy |
FIL trial HD 0801 (abstract only)16 | Bulky disease (any initial mass with diameter >5 cm) | Yes | Not yet reported |
Abbreviations: CR = complete response, CT = computed tomography; ECOG = Eastern Cooperative Oncology Group; EORTC = European Organization for Research and Treatment; FIL = Fondazione Italiana Linfomi; IFRT = involved-field radiation therapy; GHSG = German Hodgkin Study Group; GITIL/FIL = Gruppo Italiano Terapie Innovative nei Linfomi/Fondazione Italiana Linfomi; PET = positron emission tomography, PR = partial response.