Analyses of local control and survival after stereotactic body radiotherapy for pulmonary oligometastases from colorectal adenocarcinoma

Takaya Yamamoto, Yuzuru Niibe, Yasuo Matsumoto, Hiroshi Onishi, Masahiko Aoki, Atsushi Nishikawa, Ryoong Jin Oh, Takashi Shintani, Katsuya Yahara, Masatoki Ozaki, Yoshihiko Manabe, Keiichi Jingu

Research output: Contribution to journalArticlepeer-review

Abstract

This study is a subset analysis of a retrospective multicenter study performed in Japan and its purpose was to investigate the effectiveness of stereotactic body radiotherapy (SBRT) for pulmonary oligometastases from colorectal cancer. Local control (LC), freedom from further metastases, relapse-free survival and overall survival (OS) after SBRT were retrospectively analyzed. The Kaplan-Meier method was used to estimate lifetime data and the log-rank test was performed as univariate analyses. The Cox proportional hazards model was applied in multivariate analyses. Data for 330 patients with 371 tumors were used for analyses. The median follow-up period was 25.0 months. The 3-year LC, freedom from further metastases, relapse-free survival and OS rates were 64.9, 34.9, 24.9 and 63.4%, respectively. The results of multivariate analyses showed that a higher LC rate was associated with no history of local therapy for oligometastases (P = 0.01), SBRT without concurrent chemotherapy (P < 0.01), type B calculation algorithm (P < 0.01) and higher biological effective radiation doses (≥115 Gy, P = 0.04). A longer OS was associated with no history of local therapy for oligometastases (P = 0.04), a more recent period of SBRT (2010-15, P = 0.02), tumor located in the upper or middle lobe (P < 0.01) and higher biological effective radiation doses (≥115 Gy, P = 0.01). In conclusion, OS after SBRT was good, but LC rate was relatively low. The use of high biological effective radiation doses can improve both LC and OS outcomes.

Original languageEnglish
Pages (from-to)935-944
Number of pages10
JournalJournal of radiation research
Volume61
Issue number6
DOIs
Publication statusPublished - 2020 Nov 1

Keywords

  • colorectal cancer
  • colorectal metastasis
  • pulmonary oligometastasis
  • stereotactic body radiotherapy (SBRT)

ASJC Scopus subject areas

  • Radiation
  • Radiology Nuclear Medicine and imaging
  • Health, Toxicology and Mutagenesis

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