Prospective evaluation of early treatment outcome in patients with meningiomas treated with particle therapy based on target volume definition with MRI and 68Ga-DOTATOC-PET

作者: Stephanie E. Combs , Thomas Welzel , Daniel Habermehl , Stefan Rieken , Jan-Oliver Dittmar

DOI: 10.3109/0284186X.2013.762996

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摘要: AbstractPurpose. To evaluate early treatment results and toxicity in patients with meningiomas treated particle therapy. Material methods. Seventy were protons (n = 38) or carbon ion radiotherapy 26). Median age was 49 years. at 55 years, 24 male (34%), 46 female (66%). Histology benign meningioma 26 (37%), atypical 23 (33%) anaplastic four (6%). In 17 (24%) skull base diagnosis based on the typical appearance of a meningioma. For meningiomas, total doses 52.2–57.6 GyE applied protons. high-grade lesions, boost volume 18 ions, median dose 50 as highly conformal radiation Nineteen re-irradiation. Treatment planning MRI 68-Ga-DOTATOC-PET evaluated. Results. Very low rates side effects developed, including headaches, nausea dizz...

参考文章(16)
Eugen B. Hug, Alexander DeVries, Allan F. Thornton, John E. Munzenrider, Francisco S. Pardo, E. Tessa Hedley-Whyte, Marc R. Bussiere, Robert Ojemann, Management of atypical and malignant meningiomas: role of high-dose, 3D-conformal radiation therapy. Journal of Neuro-oncology. ,vol. 48, pp. 151- 160 ,(2000) , 10.1023/A:1006434124794
Juergen Debus, Martina Wuendrich, Andrea Pirzkall, Angelika Hoess, Wolfgang Schlegel, Ivan Zuna, Rita Engenhart-Cabillic, Michael Wannenmacher, High Efficacy of Fractionated Stereotactic Radiotherapy of Large Base-of-Skull Meningiomas: Long-Term Results Journal of Clinical Oncology. ,vol. 19, pp. 3547- 3553 ,(2001) , 10.1200/JCO.2001.19.15.3547
Christos Boskos, Loic Feuvret, Georges Noel, Jean-Louis Habrand, Pascal Pommier, Claire Alapetite, Hamid Mammar, Regis Ferrand, Gilbert Boisserie, Jean-Jacques Mazeron, Combined Proton and Photon Conformal Radiotherapy for Intracranial Atypical and Malignant Meningioma International Journal of Radiation Oncology Biology Physics. ,vol. 75, pp. 399- 406 ,(2009) , 10.1016/J.IJROBP.2008.10.053
Katsura Kosaki, Swantje Ecker, Daniel Habermehl, Stefan Rieken, Oliver Jäkel, Klaus Herfarth, Jürgen Debus, Stephanie E Combs, Comparison of intensity modulated radiotherapy (IMRT) with intensity modulated particle therapy (IMPT) using fixed beams or an ion gantry for the treatment of patients with skull base meningiomas Radiation Oncology. ,vol. 7, pp. 44- 44 ,(2012) , 10.1186/1748-717X-7-44
Evelyn Wenkel, Allan F Thornton, Dianne Finkelstein, Judy Adams, Susan Lyons, Susan De La Monte, Robert G Ojeman, John E Munzenrider, Benign meningioma: partially resected, biopsied, and recurrent intracranial tumors treated with combined proton and photon radiotherapy. International Journal of Radiation Oncology Biology Physics. ,vol. 48, pp. 1363- 1370 ,(1998) , 10.1016/S0360-3016(00)01411-5
Mary Austin-Seymour, John Munzenrider, Rita Linggood, Michael Goitein, Lynn Verhey, Marcia Urie, Richard Gentry, Steven Birnbaum, Donna Ruotolo, Candace Crowell, Patricia McManus, Steven Skates, Andreas Koehler, Herman D. Suit, Fractionated proton radiation therapy of cranial and intracranial tumors. American Journal of Clinical Oncology. ,vol. 13, pp. 327- 330 ,(1990) , 10.1097/00000421-199008000-00013
Melissa Bondy, B. Lee Ligon, Epidemiology and etiology of intracranial meningiomas: A review Journal of Neuro-oncology. ,vol. 29, pp. 197- 205 ,(1996) , 10.1007/BF00165649
Stephanie E. Combs, Christian Hartmann, Anna Nikoghosyan, Oliver Jäkel, Christian P. Karger, Thomas Haberer, Andreas von Deimling, Marc W. Münter, Peter E. Huber, Jürgen Debus, Daniela Schulz-Ertner, Carbon ion radiation therapy for high-risk meningiomas Radiotherapy and Oncology. ,vol. 95, pp. 54- 59 ,(2010) , 10.1016/J.RADONC.2009.12.029
Stephanie E Combs, Lutz Edler, Iris Burkholder, Stefan Rieken, Daniel Habermehl, Oliver Jäkel, Thomas Haberer, Andreas Unterberg, Wolfgang Wick, Jürgen Debus, Renate Haselmann, Treatment of patients with atypical meningiomas Simpson grade 4 and 5 with a carbon ion boost in combination with postoperative photon radiotherapy: the MARCIE trial. BMC Cancer. ,vol. 10, pp. 615- 615 ,(2010) , 10.1186/1471-2407-10-615
Stephanie E Combs, Meinhard Kieser, Stefan Rieken, Daniel Habermehl, Oliver Jäkel, Thomas Haberer, Anna Nikoghosyan, Renate Haselmann, Andreas Unterberg, Wolfgang Wick, Jürgen Debus, Randomized phase II study evaluating a carbon ion boost applied after combined radiochemotherapy with temozolomide versus a proton boost after radiochemotherapy with temozolomide in patients with primary glioblastoma: The CLEOPATRA Trial BMC Cancer. ,vol. 10, pp. 478- 478 ,(2010) , 10.1186/1471-2407-10-478