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Low-Dose Gamma Knife Radiosurgery Plus Whole-Brain Radiation Therapy for Advanced Stage Brain Metastasis

Research Project

Project/Area Number 15K19805
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Radiation science
Research InstitutionNagoya City University

Principal Investigator

Miyakawa Akifumi  名古屋市立大学, 大学院医学研究科, 研究員 (60624012)

Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2015: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Keywords転移性脳腫瘍 / ガンマナイフ治療 / 全脳照射
Outline of Final Research Achievements

From November 2013 to March 2016, 42 patients were treated with Gamma Knife (GK) followed bywhole-brain radiotherapy (WBRT) for brain metastasis (BM) with (n = 21) or without (n = 21) meningeal dissemination.The median prescribed dose of GK was 14 Gy at the periphery. The median WBRT dose to isocenter was 30 Gy in 10 fractions. The median number of target BM was 15.
33 did not develop further recurrence until death or last follow-up, while 9 developed recurrence. With a follow-up period up to 24 months, the overall survival rate was 34% at 12 months and median survival time was 8 months. The cumulative incidence of intracranial recurrence was 23% at 12 months. Treatment with low-dose GK followed by WBRT for advanced-stage BM appeared to contribute to local control. Adverse events were mostly acceptable.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (4 results)

All 2017

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (3 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] Fractionated stereotactic radiotherapy for metastatic brain tumors that recurred after gamma knife radiosurgery results in acceptable toxicity and favorable local control.2017

    • Author(s)
      Miyakawa A, Shibamoto Y, Takemoto S, Serizawa T, Otsuka S, Hirai T
    • Journal Title

      Int J Clin Oncol.

      Volume: 22(2) Issue: 2 Pages: 250-256

    • DOI

      10.1007/s10147-016-1058-x

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Presentation] Low-Dose Gamma Knife Radiosurgery Plus Whole-Brain Radiation Therapy for Advanced Stage Brain Metastasis2017

    • Author(s)
      Akifumi Miyakawa, Shinya Takemoto, Tatsuo Hirai, Toru Serizawa, Yuta Shibamoto
    • Organizer
      ASTRO the 2017 Annual Meeting
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Low-Dose Gamma Knife Radiosurgery Plus Whole-Brain Radiation Therapy for Advanced Stage Brain Metastasis: a Multi-Institutional Prospective Study2017

    • Author(s)
      Akifumi Miyakawa, Shinya Takemoto, Tatsuo Hirai, Toru Serizawa, Yuta Shibamoto
    • Organizer
      Chubu Radiation Oncology Group Rad/51 Society Joint Symposium
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 多発転移性脳腫瘍に対する低線量ガンマナイフ治療併用全脳照射の成績2017

    • Author(s)
      宮川聡史、竹本真也、平井達夫、芹澤徹、眞鍋良彦、芝本雄太
    • Organizer
      日本放射線腫瘍学会第30回学術大会
    • Related Report
      2017 Annual Research Report

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Published: 2015-04-16   Modified: 2019-03-29  

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