Table 1.
Tumor characteristics of the 20 oligometastatic lesions included for analysis
Site | Histology | GTV (cm3) | PTV (cm3) | PTV-opt (cm3) | PTV-opt /PTV | Constraining OAR | Max dose constraint (Gy) |
---|---|---|---|---|---|---|---|
Lung | Pancreas adenocarcinoma | 1.51 | 6.31 | 3.39 | 0.54 | Bronchus | 20.2 |
Lung | Lung adenocarcinoma | 13.11 | 26.40 | 26.10 | 0.99 | Stomach | 12.4 |
Lung | Lung adenocarcinoma | 8.07 | 25.43 | 22.00 | 0.87 | Esophagus | 15.4 |
Lung | Esophagus adenocarcinoma | 10.85 | 24.59 | 17.75 | 0.72 | Rib | 22∗ |
Lung | Cholangiocarcinoma | 3.35 | 13.57 | 10.02 | 0.74 | Rib | 22∗ |
Lung | Breast invasive ductal carcinoma | 3.77 | 16.23 | 16.23 | 1.00 | Rib | 22∗ |
Lung | Leiomyosarcoma | 1.15 | 7.77 | 7.77 | 1.00 | NA | NA |
Lung | Melanoma | 0.79 | 7.16 | 7.16 | 1.00 | NA | NA |
Lung | Renal cell carcinoma | 4.18 | 12.55 | 12.55 | 1.00 | NA | NA |
Lung | Colorectal adenocarcinoma | 1.02 | 4.02 | 4.02 | 1.00 | NA | NA |
Kidney | Colorectal adenocarcinoma | 8.57 | 19.63 | 16.00 | 0.82 | Small bowel | 15.4 |
Kidney | Esophagus adenocarcinoma | 6.82 | 17.46 | 14.95 | 0.86 | Small bowel | 15.4 |
Adrenal | Lung adenocarcinoma | 49.27 | 87.22 | 79.74 | 0.91 | Stomach | 12.4 |
Portal lymph node | Hepatocellular carcinoma | 65.66 | 112.06 | 108.70 | 0.97 | Duodenum | 12.4 |
Portacaval lymph node | Gall bladder adenocarcinoma | 7.17 | 60.74 | 53.56 | 0.88 | Stomach | 12.4 |
Gastrohepatic lymph node | Esophagus adenocarcinoma | 12.50 | 21.61 | 16.57 | 0.77 | Stomach | 12.4 |
Liver | Breast invasive ductal carcinoma | 1.64 | 9.51 | 8.87 | 0.93 | Stomach | 12.4 |
Liver | Gall bladder adenocarcinoma | 84.18 | 144.98 | 133.62 | 0.92 | Duodenum | 12.4 |
Liver | Lung adenocarcinoma | 5.61 | 13.78 | 9.60 | 0.70 | Colon | 18.4 |
Liver | Pancreas adenocarcinoma | 33.34 | 58.12 | 49.79 | 0.86 | Colon | 18.4 |
Mean (range) | 16.12 (0.79-84.18) | 34.46 (4.02-144.98) | 30.92 (3.39-133.62) | 0.87 (0.54-1.00) |
Each lesion with a corresponding dose-limiting OAR and the maximum dose constraint of that OAR is indicated. PTVopt created by a Boolean subtraction of the 3 to 5 mm expansion around luminal organs from the PTV.
Abbreviations: GTV = gross tumor volume; NA = not applicable; OAR = organ at risk; PTV = planning target volume.
D1cc (minimum dose to the 1 cm3 receiving the highest dose).