High-grade Glioma
Conditions
Keywords
adaptive radiotherapy, high-grade glioma, MRI image
Brief summary
The changes of target and organs at risk in patients with high-grade glioma during concurrent chemoradiotherapy were evaluated by MRI image between radiotherapy fractions.
Detailed description
To prospectively evaluate the changes of target organs and risk organs in patients with high-grade glioma during concurrent chemoradiotherapy.The related factors causing this change are discussed.The relationship between changes and patient survival was analyzed.A predictive model was established to provide individualized adaptive radiotherapy for patients.
Interventions
MRI was performed and adaptive radiotherapy was administered at farction10 and fraction 20 during radiotherapy.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age ≥18 years old; 2. High-grade glioma was confirmed by pathology after surgery; 3. ECOG score 0-2 points; 4. Receiving the standard STUPP regimen (i.e. 6 weeks of temozolomide concurrent chemoradiotherapy +6 cycles of temozolomide adjuvant chemotherapy); 5. Baseline data available.
Exclusion criteria
1. The pathological diagnosis is not clear; 2. No synchronous chemotherapy/adjuvant chemotherapy < 6 cycles; 3. There are other malignant tumors; 4. Previously radiotherapy to the head; 5. Interruption of radiotherapy for more than 5 days; 6. Failure to collect baseline data.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Homogeneity index | up to 2 weeks | HI: Homogeneity index. Dosimetric change |
| conformity index | up to 2 weeks | CI: conformity index. Dosimetric change |
| Anatomic change | up to 2 weeks | Dmax Volume |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| progression-free survival (PFS) | assessed up to 12 months | progression-free survival |
Countries
China