Carcinoma, Hepatocellular
Conditions
Keywords
MRI, Stereotactic body radiation therapy
Brief summary
The aim of this work was to describe SBRT different presentations, to study predictive factors for tumor responses following treatment, and to compare tumor response assessments according to the Response Evaluation Criteria
Interventions
Seven to ten days before the scheduled CT, 2-4 fiducial markers were implanted percutaneously 2 to 5 cm next to the lesion under sonographic guidance following administration of local anesthesia, thus allowing real-time tracking during treatment. The total dose delivered was 45 Gy on the 80% isodose, in three fractions over 10 days. Gross tumor volume (GTV) was defined as the tumor mass that could be discerned by diagnostic imaging. An isotropic margin of 5 mm was added to account for the microscopic extension (clinical target volume, CTV) and another 3 mm margin was added to compensate for uncertainties regarding the position (previsional target volume, PTV)
Sponsors
Study design
Eligibility
Inclusion criteria
* Inclusion Criteria: the standard criteria for treating HCC patients with SBRT : an Eastern Cooperative Oncology Group (ECOG) score of 2, inoperable tumors (e.g. the patient being unfit for surgery, or tumor-related contraindications), and a maximum tumor diameter of 6 cm. The HCC diagnosis could be histological or based on the radiological criteria of the American Association for the Study of Liver Diseases (AASLD) *
Exclusion criteria
no follow-up by MR imaging
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| tumor response assessments | Within the 24 months after SBRT | The tumor response was evaluated by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 |