Defining the Optimal Dose of Stereotactic Radiosurgery for Treating Cerebral Metastases in Elderly Patients
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Defining the Optimal Dose of Stereotactic Radiosurgery for Treating Cerebral Metastases in Elderly Patients. / Rades, Dirk; Dahlke, Markus; Dziggel, Liesa; Janssen, Stefan; Bajrovic, Amira; Trang, Ngo Thuy; Khoa, Mai Trong; Schild, Steven E.
In: ANTICANCER RES, Vol. 35, No. 10, 10.2015, p. 5701-4.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Defining the Optimal Dose of Stereotactic Radiosurgery for Treating Cerebral Metastases in Elderly Patients
AU - Rades, Dirk
AU - Dahlke, Markus
AU - Dziggel, Liesa
AU - Janssen, Stefan
AU - Bajrovic, Amira
AU - Trang, Ngo Thuy
AU - Khoa, Mai Trong
AU - Schild, Steven E
N1 - Copyright© 2015 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.
PY - 2015/10
Y1 - 2015/10
N2 - BACKGROUND/AIM: In oncology, elderly people are a separate group of patients requiring special consideration. This applies to the treatment of cerebral metastases as well. The present study focused on elderly patients receiving stereotactic radiosurgery (SRS) for few cerebral lesions.PATIENTS AND METHODS: In 95 patients aged ≥65 years, two SRS doses, 16-18 Gy (n=44) and 20 Gy (n=51), were compared regarding outcomes of SRS.RESULTS: The overall intracerebral control rates at 12 months were 30% after 16-18 Gy and 45% after 20 Gy (p=0.53). Twelve-month rates of freedom from new intracerebral lesions were 41% and 52%, respectively (p=0.63). Twelve-month local control rates of the irradiated lesions were 55% and 81%, respectively (p=0.069). Overall survival rates at 12 months were 29% and 31%, respectively (p=0.67).CONCLUSION: SRS with 16-18 Gy was not significantly inferior to SRS with 20 Gy in elderly patients with few cerebral metastases.
AB - BACKGROUND/AIM: In oncology, elderly people are a separate group of patients requiring special consideration. This applies to the treatment of cerebral metastases as well. The present study focused on elderly patients receiving stereotactic radiosurgery (SRS) for few cerebral lesions.PATIENTS AND METHODS: In 95 patients aged ≥65 years, two SRS doses, 16-18 Gy (n=44) and 20 Gy (n=51), were compared regarding outcomes of SRS.RESULTS: The overall intracerebral control rates at 12 months were 30% after 16-18 Gy and 45% after 20 Gy (p=0.53). Twelve-month rates of freedom from new intracerebral lesions were 41% and 52%, respectively (p=0.63). Twelve-month local control rates of the irradiated lesions were 55% and 81%, respectively (p=0.069). Overall survival rates at 12 months were 29% and 31%, respectively (p=0.67).CONCLUSION: SRS with 16-18 Gy was not significantly inferior to SRS with 20 Gy in elderly patients with few cerebral metastases.
KW - Aged
KW - Brain Neoplasms
KW - Dose Fractionation
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Male
KW - Neoplasm Staging
KW - Neoplasms
KW - Prognosis
KW - Radiosurgery
KW - Retrospective Studies
KW - Survival Rate
M3 - SCORING: Journal article
C2 - 26408746
VL - 35
SP - 5701
EP - 5704
JO - ANTICANCER RES
JF - ANTICANCER RES
SN - 0250-7005
IS - 10
ER -