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Table 4 Reports of proton beam therapy for intrahepatic cholangiocarcinoma

From: Respiratory-gated proton beam therapy for intrahepatic cholangiocarcinoma without fiducial markers

Authors

Study design

Cases

Tumor size (cm)

Median (range)

Treatment dose/fraction

Follow-up period (median)

Fiducial marker

Breathing method

OS

2Y

PFS

2Y

LC

2Y

Adverse effects grade3 (number of patient)

Adverse effects grade4 (number of patient)

This study

Retro

24

4.1 (1.0–13.4)

48-76 Gy(RBE)/10-37Fr

18.5 months

None

Respiratory gating system

62%

33%

66%

None

4%(1):pleural effusion(1)

Shimizu et al

2019

Radiat Oncol [16]

Retro

37

5.7 (1.5–14.0)

66-74 Gy(RBE)/10-37Fr

37.5 months

(+)

Respiratory gating system

41%

38%

72%

8%(3):cholangitis(3)

None

Theodores S. Hong et al

2016

Pract Radiat Oncol [17]

Pros

39

6.0 (2.2–10.9)

58.05–67.5 Gy(RBE)/15Fr

19.5 months

Not reffered

NR

47%

26%

94%

8%(3):liver failure and ascites(1), stomach ulcer(1), elebated bilirubin(1)

None

Kim et al

2022

Cancers [36]

Retro

47

5.2 (1.0–11.0)

45-80 Gy(RBE)/10Fr

18.3 month

None

Respiratory gating system

43%

17%

87%

8.5%(4):WBC decrease(2),

Bilirubin increase(2)

None

Mizumoto et al

2023

Liver Cancer [37]

Pros

59

5.0 (2.0–15.2)

60-76 Gy(RBE)/20-38Fr

36.7 month

Not reffered

Respiratory-gated system or a motion tracking system

46%

24%

77%

6.8%(4):Bile duct stenosis(2), Dermatitis(1), Gastric hemorrhage(1)

None