From: Pattern of recurrence after fractionated stereotactic reirradiation in adult glioblastoma
In-field | Marginal | Out-field | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Statistical analysis | Univariate | Multivariate | Univariate | Multivariate | Univariate | Multivariate | |||||||
Age at initial treatment ≥ 60 | HR = 0.45 [0.12–1.73] | p = 0.2 | HR = 0.74 [0.34–1.64] | p = 0.5 | HR = 1.83 [0.84–3.98] | p = 0.13 | HR = 3.06 [1.17–8.01], | p = 0.023 | |||||
Type of initial surgical procedure | |||||||||||||
- Biopsy | - | - | - | - | - | - | |||||||
- Subtotal resection | HR = 0.72 [0.17–3.01] | p = 0.7 | HR = 1.54 [0.53–4.44] | p = 0.4 | HR = 0.58 [0.17–1.98] | p = 0.4 | |||||||
- Gross total resection | HR = 0.24 [0.05–1.22] | p = 0.085 | HR = 1.23 [0.46–3.34] | p = 0.7 | HR = 1.50 [0.62–3.64] | p = 0.4 | |||||||
Invasion of SVZ at diagnosis | HR = 0.58 [0.07–4.57] | p = 0.6 | HR = 0.79 [0.24–2.63] | p = 0.7 | HR = 1.95 [0.78–4.83] | p = 0.2 | |||||||
Multifocality of recurrence treated by fSRT | HR = 3.56 [1.00–12.7] | p = 0.050 | HR = 3.25 [0.89–11.9] | p = 0.075 | HR = 0.93 [0.32–2.70] | p = 0.9 | HR = 0.70 [0.24–2.03] | p = 0.5 | |||||
Adjuvant systemic therapy at recurrence treated by fSRT | HR = 0.54 [0.14–2.09] | p = 0.4 | HR = 1.38 [0.63–3.03] | p = 0.4 | HR = 1.23 [0.58–2.64] | p = 0.6 | |||||||
KPS score at recurrence treated by fSRT ≥ 70 | HR = 0.29 [0.04–2.29] | p = 0.2 | HR = 25 655 552 [0 – inf] | p > 0.9 | HR = 1.05 [1.00–1.10] | p = 0.051 | HR = 0.26 [0.06–1.16] | p = 0.078 | HR = 0.97 [0.93–1.00] | p = 0.084 | |||
Existence of one or more previous recurrences | HR = 0.70 [0.09–5.49] | p = 0.7 | HR = 0.62 [0.15–2.63] | p = 0.5 | HR = 2.70 [1.08–6.72] | p = 0.033 | HR = 5.29 [1.70–16.5] | p = 0.004 | |||||
GTV volume | HR = 1.04 [0.99–1.10] | p = 0.13 | HR = 1.03 [0.98–1.09] | p = 0.2 | HR = 0.97 [0.91–1.003] | p = 0.3 | |||||||
GTV volume ≥ 17 cc | HR = 2.22 [0.47–10.5] | p = 0.3 | HR = 2.50 [0.73–8.52] | p = 0.14 | HR = 0.68 [0.16–2.89] | p = 0.6 | |||||||
PTV volume | HR = 1.04 [1.00–1.09] | p = 0.055 | HR = 1.04 [0.99–1.08] | p = 0.089 | HR = 1.02 [0.98–1.06] | p = 0.2 | HR = 0.97 [0.93–1.02] | p = 0.2 | |||||
PTV volume ≥ 36 cc | HR = 2.43 [0.31–19.3] | p = 0.4 | HR = 6.23 [1.35–28.7] | p = 0.019 | HR = 5.18 [1.06–25.3] | p = 0.042 | HR = 0.00 [0.00 – inf] | p > 0.9 | |||||
GTV-PTV margin 2 and 3 mm vs. 1 mm | HR = 256 164 988 [0 – inf] | p > 0.9 | HR = 0.42 [0.18–0.98] | p = 0.044 | HR = 0.38 [0.15–0.95] | p = 0.037 | HR = 1.85 [0.56–6.18] | p = 0.3 |