首页> 外文期刊>International Journal of Radiation Oncology, Biology, Physics >Randomized comparison of whole brain radiotherapy, 20 Gy in four daily fractions versus 40 Gy in 20 twice-daily fractions, for brain metastases. In regard to Graham et al. (Int J Radiat Oncol Biol Phys 2010;77(3):648-54.).
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Randomized comparison of whole brain radiotherapy, 20 Gy in four daily fractions versus 40 Gy in 20 twice-daily fractions, for brain metastases. In regard to Graham et al. (Int J Radiat Oncol Biol Phys 2010;77(3):648-54.).

机译:全脑放疗(每日四次使用20 Gy与每天两次两次进行的20 Gy)的脑转移的随机比较。关于格雷厄姆等。 (Int J Radiat Oncol Biol Phys 2010; 77(3):648-54。)。

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Dr. Graham and colleagues are to be congratulated in persevering and completing their randomized study of accelerated whole-brain irradiation for brain metastases (1). The accelerated prescription of 40 Gy in 20 fractions given twice daily gained attention after Vecht et al. (2) reported that this prescription provided a median survival in non-operated patients of 26 weeks. This outcome was far superior to the results previously described in a number of randomized trials of palliative whole-brain irradiation, which typically used daily hypofractionated prescriptions. Our own attempt (3) to reproduce the experience of Vecht et al. failed. However, we are reassured to see the findings of our own randomized study with respect to survival (the same as conventionally hypofractionated radiation) and local control (improved by a factor of ~2) duplicated in the report by Dr. Graham et al
机译:祝贺格雷厄姆博士及其同事坚持并完成他们关于加速全脑辐射治疗脑转移的随机研究(1)。在Vecht等人之后,每天两次给予40 Gy的加速处方20次,引起了关注。 (2)报告说,该处方在未手术患者中的中位生存期为26周。这一结果远远优于先前在姑息性全脑照射的许多随机试验中描述的结果,该试验通常使用每日超分割处方。我们自己的尝试(3)重现了Vecht等人的经验。失败了但是,我们可以放心地看到,我们自己的随机研究的结果在Graham等人的报告中重复了关于存活率(与常规的低分割辐射相同)和局部控制(改善了约2倍)的重复

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