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Table 2 Patients’ treatment and outcome

From: Craniospinal irradiation(CSI) in patients with leptomeningeal metastases: risk-benefit-profile and development of a prognostic score for decision making in the palliative setting

Patient

Primary diagnosis

Age at treatment

Treatment

CSI/SI Dose (Gy)

CSI/SI Dose per Fraction (Gy)

Boost Region

Cumulative dose in boosted volume (Gy)

Boost Dose per Fraction (Gy)

Reason for treatment discontinuation

Clinical treatment benefit

Prognostic Score

Survival (months)

Patient alive at last follow up

1

NSCLC

64

CSI

20,8

1.6

no Boost

NA

NA

clinical progress, deterioration of physical condition

No

2

1.5

No

2

Breast cancer

37

CSI

35.2

1.6

Posterior fossa

50.0

2.0

NA

No

1

3.8

No

3

Breast cancer

58

CSI

18.0

1.8

A) Sacrl cauda equina B) whole brain - C7

A)26.0 B) 37.0

A) 2 × 2.0 B) 2 × 2.0 + 5 × 3.0

Grade III Leuko- and Thrombopaenia

Improvement in paresis, headaches and dizziness

0

4.7

No

4

NSCLC

70

CSI

36.0

1.8

Sacrum

43.5

2.5

NA

Pain reduction

1

3.3

No

5

Breast cancer

63

CSI

21.6

1.8

Radiosurgery Boost to four brain metastases

37.6

16.0

Grade III Leuko- and Thrombopaenia

No

1

3.3

No

6

Primary CNS Lymphoma

67

SI

21.0

1.5

L3-S1, whole brain

30.0

3.0

Grade III Leuko- and Grade IV Thrombopaenia

No

0

1.9

No

7

DLBCL

64

SI

3.0

1.5

Th8 - Sacrum

9.0

3.0

Grade IV Leuko- and Grade III Thrombopaenia

No

1

0.5

No

8

NSCLC

80

CSI

30.6

1.8

Th11-S2

40.6

2.0

clinical progress, deterioration of physical condition

No

2

1.5

No

9

NSCLC

48

CSI

36.0

1.5

no Boost

NA

NA

NA

Pain reduction

0

61.5

Yes

10

Anaplastic Astrocytoma

63

CSI

36.0

1.8

A) C2-C6,Th1-Th2, Th6-Th10 B) left cerebellum

A) 45.0 B) 54.0

1.8

NA

Improvement of dizziness

0

16.3

Yes

11

Sarcomatoid CUP

41

CSI

23.6

1.6

no Boost

NA

NA

clinical progress, deterioration of physical condition

No

1

1.6

No

12

Adenocarcinoma of Gastroesophagheal Junction

48

CSI

14.8

1.8

C6, Th5–6, L1–5

24.8

2.0

clinical progress, deterioration of physical condition, massive thrombosis

No

2

0.9

No

13

Gastric Cancer

36

CSI

30.0

1.5

Posterior fossa, TH7

36.0

1.8

NA

Improvement of blurred vision and paraesthesia and ataxia

0

3.4

No

14

Embryonal Carcinoma (NOS)

47

SI

32.0

1.6

no Boost

NA

NA

NA

Improvement of Paresis

2

2.8

No

15

MPNST

31

CSI

35.2

1.6

Posterior fossa

54.0

2.0

NA

Improvement in general physical condition, better mobilisation, pain reduction

1

8.4

No

16

Mantel Cell Lymphoma

70

CSI

28.8

1.8

no Boost

NA

NA

Grade IV Leukopaenia

No but negativ spinal tap one month after CSI

0

7.3

No

17

NSCLC

56

SI

36.0

1.8

A) Th9–10 B) L3 -S2

A) 44.0 B) 50.0

A) 2.2 as simultaneuous integrated boost B) 2.2 as simultaneuous integrated boost followed by 2 × 3.0

NA

Improvement of bladder incontinence and paresis

1

4.2

No

18

Breast Cancer

69

CSI

36.0

1.8

no Boost

NA

NA

NA

Almost complete regression of sensory and motor deficits in the lower left extremity as well as complete regresion of the impairment in urinary and defecation function

0

11.3

Yes

19

Breast Cancer

36

CSI

35.2

1.6

no Boost

NA

NA

NA

Improvement in general clinical condition, pain and sensitive neurological deficits

0

13.0

No