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. 2023 Jan 18;39:100585. doi: 10.1016/j.ctro.2023.100585

Table 1.

Inclusion and exclusion criteria.

Inclusion criteria Exclusion criteria and justifications
  • Age ≥35 years.

  • Male or female.

  • New radiological diagnosis of glioblastoma.

  • Performance status judged by World Health Organisation, Eastern Cooperative Oncology Group [ECOG] score = 0–1.

  • Case has been reviewed by Neuro-oncology multidisciplinary team (MDT – neurosurgeon, clinical oncologist, radiologist and pathologist); MDT consensus that offering study entry is clinically appropriate and safe i.e. patient unlikely to come to harm (e.g. hydrocephalus) from delayed surgery and pre-operative radiotherapy based on available clinical information and imaging.

  • Confirmation at first clinic visit that study entry is clinically appropriate and safe (e.g. lack of severe and debilitating symptoms of raised intracranial pressure).

  • Intention to treat with surgical resection and postoperative adjuvant therapy as per current standard of care (Stupp regimen).

  • Tumour size, location and configuration meet radiotherapy treatment planning criteria (e.g. to secure cold spot/hot spot, meets dose constraints for organs at risk when accounting for post-operative radiotherapy).

  • Adequate haematological and biochemical parameters for surgery and contrast agent administration (full blood count and coagulation profile deemed acceptable by clinical team, eGFR >30 ml/min).

  • Mental capacity to consent for treatment.

  • Able and willing to give informed consent.

  • Planned biopsy procedure only.

    Suspicion of other tumour on CT body scan or known malignancy except non-melanoma skin cancer, completely resected cervical or prostate cancer (with Prostate Specific Antigen of less than or equal to 0.1 ng/ml) within the past 3 years.

    Contraindications to contrast-enhanced MRI scanning (e.g. claustrophobia, gadolinium allergy).