Comparison between Reirradiation by Stereotactic Body Radiation Therapy and Moderately Hypofractionated Radiotherapy in Combination with Temozolomide for Treatment of Recurrent High Grade Glioma

Comparison between Reirradiation by Stereotactic Body Radiation Therapy and Moderately Hypofractionated Radiotherapy in Combination with Temozolomide for Treatment of Recurrent High Grade Glioma

Objective:

High grade glioma (HGG) often recurs and lacks a standard treatment. This study compared the effectiveness and side effects of two re-irradiation methods.

Methods:

Forty patients with recurrent HGG were divided into two groups. One received 30 Gy/10f/2w radiotherapy, and the other received stereotactic body radiotherapy (SBRT) 30 Gy/5f/1w, both with concurrent temozolomide (TMZ). Progression free survival (PFS) and overall survival (OS) were calculated, and brain MRI and toxicity were monitored.

Results:

The median PFS after recurrence was 6.4 months, median OS after recurrence was 8.6 months, and median total OS from diagnosis was 18.5 months. There was a significant improvement in PFS in the SBRT group, but no significant difference in OS. Patients tolerated the treatment well, with manageable acute and subacute side effects.

Conclusion:

Both re-irradiation methods were safe and effective, with SBRT showing a significant improvement in PFS.

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