Skull Base 2009; 19(3): 219-224
DOI: 10.1055/s-0028-1114295
ORIGINAL ARTICLE

© Thieme Medical Publishers

Carbon Ion Radiotherapy for Skull Base Chordoma

Jun–etsu Mizoe1 , Azusa Hasegawa1 , Ryo Takagi1 , Hiroki Bessho1 , Takeshi Onda1 , Hirohiko Tsujii1
  • 1Research Center for Charged Particle Therapy Hospital, National Institute of Radiological Sciences (NIRS), Chiba, Japan
Further Information

Publication History

Publication Date:
09 January 2009 (online)

ABSTRACT

Objective: To present the results of the clinical study of carbon ion radiotherapy (CIRT) for skull base and paracervical spine tumors at the National Institute of Radiological Sciences in Chiba, Japan. Methods: The study is comprised of three protocols: a pilot study, a phase I/II dose escalation study, and a phase II study. All the patients were treated by 16 fractions for 4 weeks with total doses of 48.0, 52.8, 57.6, and 60.8 Gy equivalents (GyE). Results: As a result of the dose escalation study of CIRT for skull base tumors, a dose fractionation of 60.8 GyE/16 fractions for 4 weeks was decided as the recommended dose because of acceptable normal tissue reactions and good local tumor control. Conclusions: Preliminary results of the phase II clinical study of CIRT for skull base chordoma showed local control at 5 years at 100%, and normal tissues showed a mild reaction without any severe morbidity of important organs.

REFERENCES

  • 1 Salisbury J R. The pathology of the human notochord.  J Pathol. 1993;  171 253-255
  • 2 Debus J, Hug E B, Liebsch N J et al.. Brainstem tolerance to conformal radiotherapy of skull base tumors.  Int J Radiat Oncol Biol Phys. 1997;  39 967-975
  • 3 Schulz-Ertner D, Karger C P, Feuerhake A et al.. Effectiveness of carbon ion radiotherapy in the treatment of skull-base chordomas.  Int J Radiat Oncol Biol Phys. 2007;  68 449-457
  • 4 Feuvret L, Noel G, Weber D C et al.. A treatment planning comparison of combined photon-proton beams versus proton beams-only for the treatment of skull base tumors.  Int J Radiat Oncol Biol Phys. 2007;  69 944-954
  • 5 Vargas C, Fryer A, Mahajan C et al.. Dose-volume comparison of proton therapy and intensity-modulated radiotherapy for prostate cancer.  Int J Radiat Oncol Biol Phys. 2008;  70 744-751
  • 6 Munzenrider J E, Liebsch N J. Proton therapy for tumors of the skull base.  Strahlenther Onkol. 1999;  175(Suppl. 2) 57-63
  • 7 Igaki H, Tokuue K, Okumura T et al.. Clinical results of proton beam therapy for skull base chordoma.  Int J Radiat Oncol Biol Phys. 2004;  60 1120-1126
  • 8 Noël G, Feuvret L, Calugaru V et al.. Chordomas of the base of the skull and upper cervical spine. One hundred patients irradiated by a 3D conformal technique combining photon and proton beams.  Acta Oncol. 2005;  44 700-708
  • 9 Weber D C, Rutz H P, Pedroni E S et al.. Results of spot-scanning proton radiation therapy for chordoma and chondrosarcoma of the skull base: the Paul Scherrer Institut experience.  Int J Radiat Oncol Biol Phys. 2005;  63 401-409
  • 10 Mendenhall W M, Mendenhall C M, Lewis S B et al.. Skull base chordoma.  Head Neck. 2005;  27 159-165
  • 11 Jereczek-Fossa B A, Krengli M, Orecchia R. Particle beam radiotherapy for head and neck tumors: radiobiological basis and clinical experience.  Head Neck. 2006;  28 750-760
  • 12 Terahara A, Niemierko A, Goitein M et al.. Analysis of the relationship between tumor dose inhomogeneity and local control in patients with skull base chordoma.  Int J Radiat Oncol Biol Phys. 1999;  45 351-358
  • 13 Kanai T, Endo M, Minohara S et al.. Biophysical characteristics of HIMAC clinical irradiation system for heavy-ion radiation therapy.  Int J Radiat Oncol Biol Phys. 1999;  44 201-210
  • 14 WHO Handbook for Reporting the Results of Cancer Treatment. Definitions of Objective Response. Geneva; World Health Organization 1979 Offset Publication No. 48 23-25
  • 15 Kaplan E L, Meier P. Nonparametric estimation from incomplete observations.  J Am Stat Assoc. 1958;  53 457-481

Jun–etsu MizoeM.D. Ph.D. 

Research Center for Charged Particle Therapy Hospital, National Institute of Radiological Sciences (NIRS)

Anagawa 4-9-1, Inage-ku, 263-8555, Chiba, Japan

Email: j_mizoe@nirs.go.jp

    >