PO-0678: IMRT with simultaneous integrated boost in post-operative breast irradiation

A. Fiorentino, R. Mazzola, F. Ricchetti, N. Giajlevra, S. Fersino, S. Naccarato, G. Sicignano, R. Ruggeri, G. Di Paola, F. Alongi
2015 Radiotherapy and Oncology  
3rd ESTRO Forum 2015 S331 receiver operating characteristic curve (ROC) analysis to define the cut-off points for significant parameters. Results: Median follow-up time was 20.5 months (range 4 -91) and 18 months (14-80) for primary and secondary lung cancer. RP G1-2 has been observed in 23/54 patients (42.59%); no pulmonary toxicity >G2 has occurred, as there has been no toxicity of controlateral lung and other organs at risk. Univariate statistical analysis showed that GTV(p=0.036), PTV
more » ... 22), MLD (p=0.003) and V5 (p=0.002), V10 (p=0.002), V20 (p=0.012), V30 (p=0.002) were significant variables for the risk of developing RP. Multivariate statistical analysis has found that the predictor variables of RP are V5 (p=0.004), V10 (p=0.009), V20 (p=0.014), V30 (p=0.007) and the MLD (p=0.011). The greatest risk was connected to the variable V30 (HR 1.985 ) . On the ROC curve, the cut-off values of ipsilateral lung V5,V10,V20,V30 and MLD were 29.50%,19.50%,9.55%,4.58% and 4.7%, respectively (Fig.1) . A cutoff of 4.58% for V30 had a sensitivity of 80% and specificity of 82.1%. Conclusions: In our study stereotactic body radiotherapy was well tolerated for primary and secondary lung cancer treatment. V5, V10, V20, V30 and MLD were significantly predictive of RP. Poster: Clinical track: Breast PO-0677 Rotational intensity Modulated Radiation Therapy in complex adjuvant breast and nodes irradiation
doi:10.1016/s0167-8140(15)40670-x fatcat:7gzkx4o665bwdb45tazumgpmqy