From: Oligometastases from prostate cancer: local treatment with stereotactic body radiotherapy (SBRT)
Patient | Gleason-Score | Concomitant ADT | Time between occurrence of metastasis and first diagnosis (years) | Tumor site | RT dose (Gy) | Prescribed dose in percentage | EQD2 (Gy) α/β = 2; α/β = 3 | RT technique | Time between progress and end of RT (months) | PSA before RT (ng/ml) | PSA nadir (ng/ml) | PSA in progress (ng/ml) |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 8 | No | 3.1 | Lumbar vertebra 2 | 5 × 6 (PTV), 5 × 8 (SIB) | Median | 100; 88 | VMAT | 25.3 | 2.3 | 0.1 | 7.0 |
No | 3.1 | 8th rib right | 5 × 6.5 | 60% | 173; 150 | 3D | 2.3 | 0.1 | 7.0 | |||
2 | 8 | Yes | 2.8 | Scapula left | 5 × 6 PTV (GTV + asym. Safety margin) 5 × 8 SIB (GTV + 5 mm) | 30Gy-isodose encloses 95% of PTV, SIB 95% | 109; 96 | VMAT | 9.3 | 1.9 | 3.3 (x) | 160 |
3 | 7 | No | 2.4 | Pubic bone | 5 × 6 PTV (GTV + 2 cm + 5 mm) 5 × 8 SIB (GTV + 5 mm) adapted to the bone margin | 30Gy-isodose encloses 85% of PTV, SIB median | 100; 88 | VMAT | 10.5 | 0.4 | 0.3 | 0.5 |
No | 3.4 | Iliac bone | 5 × 6 PTV (GTV + 2 cm + 5 mm) 5 × 8 SIB (GTV + 5 mm) adapted to the bone margin | 30Gy-isodose encloses PTV, SIB median | 100; 88 | VMAT | 12.5 | 0.5 | 0.05 | (y) | ||
4 | 8 | No | 5.3 | Cervical vertebra 5 | 5 × 5 (whole vertebra without spinal canal) 5 × 8 (SIB) | 95% | 109; 96 | VMAT +3D | 1.1 | 2.9 | 4.3 (x) | 6.2 |
5 | 8 | No | 0.3 | Thoracic vertebra 9, transverse process left | 5 × 5 (whole vertebra without spinal canal) 5 × 8 SIB (GTV) | 30Gy-isodose encloses 70% of PTV, SIB median | 100; 88 | Tomotherapy | 3.4 | 11.7 | 6.8 | 12 |
6 | 7 | No | 4.3 | Lumbar vetrebra 4 | 5 × 6 (whole vertebra without spinal canal) 5 × 8 SIB (GTV + 5 mm) | 30Gy-isodose encloses 60% of PTV, SIB median | 100; 88 | VMAT | 6.2 | 0.9 | 0.9 | 10.7 |
7 | 9 | No | 4.6 | 10th rib right | 5 × 5.4 | 60% | 124; 108 | 3D | 6.9 | 4.7 | 3.9 | 6.9 |
No | 4.6 | Iliac bone left | 5 × 6 PTV (GTV + asym. Safety margin) 5 × 8 SIB (GTV) | 30Gy-isodose encloses 95% of PTV, 40 Gy-isodose encloses SIB | 3D | 6.9 | 4.7 | 3.9 | 6.9 | |||
8 | 7 | Yes | 6.0 | Pubis bone right | 5 × 7 | 60% | 200; 171 | 3D | 6.6 | 2.2 | 1.8 | 2.4 |
9 | 9 | No | 5.3 | 2nd rib left | 5 × 6 | 60% | 150; 130 | 3D | N | 1.2 | 0.0 | (y) |
10 | 6 | No | 10.4 | 5th rib left | 5 × 6 | 60% | 150; 130 | 3D | 1.7 | 2.0 | (z) | 4.3 |
11 | 7 | No | 4.3 | Thoracic vertebra 7 | 5 × 5 (whole vertebra without spinal canal) 5 × 8 (SIB) | Median | 100; 88 | TomoTherapy | 28.4 | 2.7 | 0.17 | 0.8 |
12 | 9 | No | 0.9 | Pubic bone right | 5 × 6 | 60% | 150; 130 | VMAT | 6.9 | 0.9 | 1.3 (x) | 4.1 |
13 | 7 | Yes | 0.0 | Lumbar vertebra 4 | 5 × 5 (whole vertebra without spinal canal) 5 × 7 (SIB) | 95% | 86, 77 | VMAT | N | 15.0 (iPSA) | n.a. (w) | n.a. |
14 | G3 | No | 17.2 | 4th rib left | 5 × 7 | 60% | 3D | 12.1 | 1.5 | 0.3 | 3.4 | |
15 | 9 | No | 9.1 | Acetabulum left | 5 × 6 (Acetabulum dorsal) 5 × 7 (GTV + asym. Safety margin) | 95% | 86; 77 | VMAT | 23.1 | 3.9 | 0.3 | 0.9 |
No | 11.2 | Thoracic vertebra 4, Spinous process | 5 × 5 (Spinous process) 5 × 7 (GTV) | 95% | 86; 77 | VMAT | 3.6 | 0.9 | 0.19 | 0.8 | ||
No | 12.0 | Thoracic vertebra 5 | 5 × 7 Gy, GTV + 2 mm (due to pre-RT) | median | 79; 70 | 3D | 2.1 | 0.8 | (z) | n.a. |