Head and neck tumor control probability: Radiation dose-volume effects in stereotactic body radiation therapy for locally recurrent previously-irradiated head and neck cancer: Report of the AAPM Working Group Review


Authors: Vargo, J. A.; Moiseenko, V.; Grimm, J.; Caudell, J.; Clump, D. A.; Yorke, E.; Xue, J.; Vinogradskiy, Y.; Moros, E. G.; Mavroidis, P.; Jain, S.; El Naqa, I.; Marks, L. B.; Heron, D. E.
Review Title: Head and neck tumor control probability: Radiation dose-volume effects in stereotactic body radiation therapy for locally recurrent previously-irradiated head and neck cancer: Report of the AAPM Working Group
Abstract: Purpose: Stereotactic body radiation therapy (SBRT) has emerged as a viable reirradiation strategy for locally recurrent previously-irradiated head and neck cancer. Doses in the literature have varied, which challenges clinical application of SBRT as well as clinical trial design. Material & Methods: A working group was formed through the American Association of Physicists in Medicine to study tumor control probabilities for SBRT in head and neck cancer. We herein present a systematic review of the available literature addressing the dose/volume data for tumor control probability with SBRT in patients with locally recurrent previously-irradiated head and neck cancer. Dose–response models are generated that present tumor control probability as a function of dose. Results: Data from more than 300 cases in 8 publications suggest that there is a dose–response relationship, with superior local control and possibly improved overall survival for doses of 35 to 45 Gy (in 5 fractions) compared with <30 Gy. Conclusion: Stereotactic body radiation therapy doses equivalent to 5-fraction doses of 40 to 50 Gy are suggested for retreatment. © 2018 Elsevier Inc.
Keywords: radiotherapy; radiation effects; tumors; probability; stereotactic body radiation therapy; diseases; clinical application; head-and-neck cancer; medical applications; tumor control probability; dose-volume effects; clinical trial designs; dose response relationships; dose-response models
Journal Title: International Journal of Radiation Oncology, Biology, Physics
Volume: 110
Issue: 1
ISSN: 0360-3016
Publisher: Elsevier Inc.  
Date Published: 2021-05-01
Start Page: 137
End Page: 146
Language: English
DOI: 10.1016/j.ijrobp.2018.01.044
PUBMED: 29477291
PROVIDER: scopus
PMCID: PMC7294512
DOI/URL:
Notes: Article -- Export Date: 3 May 2021 -- Source: Scopus
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  1. Ellen D Yorke
    450 Yorke