PMID- 29094268 OWN - NLM STAT- MEDLINE DCOM- 20180221 LR - 20180221 IS - 1826-6983 (Electronic) IS - 0033-8362 (Linking) VI - 123 IP - 3 DP - 2018 Mar TI - Comparison of intensity modulated radiotherapy with simultaneous integrated boost (IMRT-SIB) and a 3-dimensional conformal parotid gland-sparing radiotherapy (ConPas 3D-CRT) in treatment of nasopharyngeal carcinoma: a mono-institutional experience. PG - 217-226 LID - 10.1007/s11547-017-0824-9 [doi] AB - AIM: To compare intensity modulated radiotherapy with simultaneous integrated boost (IMRT-SIB) and a 3-dimensional conformal parotid gland-sparing radiotherapy (ConPas 3D-CRT) in treatment of nasopharyngeal carcinoma with regard to outcomes and dose distribution to the planning target volumes (PTVs) and to the organs at risk (OARs). METHODS: The treatment records of 24 patients with histologically proven carcinoma of the nasopharynx treated with ConPas 3D-CRT or IMRT-SIB technique between May 2009 and December 2016 were assessed. RESULTS: The mean dose and dose to 50% parotid glands volume as well as the maximal dose to the spinal cord were significantly lower in the IMRT-SIB than in the ConPas 3-CRT group (p < 0.05; p < 0.05; p < 0.01, respectively). IMRT-SIB was also superior in coverage of PTVs. The 3-year overall survival (OS) and disease-free survival (DFS) of patients in the IMRT-SIB and ConPas 3D-CRT groups were 77 and 81% (p = 0.93), 51.9 and 70.7% (p = 0.83), respectively. CONCLUSION: IMRT-SIB provided additional spearing to parotid glands and spinal cord in comparison to ConPas 3D-CRT technique but without improvement of OS and DFS. FAU - Bisof, Vesna AU - Bisof V AUID- ORCID: 0000-0002-2826-9664 AD - Department of Oncology, University Hospital Centre Zagreb, Kispaticeva 12, Zagreb, Croatia. vesna.bisof@zg.t-com.hr. AD - School of Medicine, University of Osijek, Osijek, Croatia. vesna.bisof@zg.t-com.hr. FAU - Rakusic, Zoran AU - Rakusic Z AD - Department of Oncology, University Hospital Centre Zagreb, Kispaticeva 12, Zagreb, Croatia. AD - School of Medicine, University of Zagreb, Zagreb, Croatia. FAU - Bibic, Juraj AU - Bibic J AD - Department of Oncology, University Hospital Centre Zagreb, Kispaticeva 12, Zagreb, Croatia. FAU - Grego, Timor AU - Grego T AD - Department of Oncology, University Hospital Centre Zagreb, Kispaticeva 12, Zagreb, Croatia. FAU - Soce, Majana AU - Soce M AD - Department of Oncology, University Hospital Centre Zagreb, Kispaticeva 12, Zagreb, Croatia. LA - eng PT - Comparative Study PT - Journal Article DEP - 20171101 PL - Italy TA - Radiol Med JT - La Radiologia medica JID - 0177625 SB - IM MH - Carcinoma/*radiotherapy MH - Disease-Free Survival MH - Humans MH - Nasopharyngeal Neoplasms/*radiotherapy MH - Nose Neoplasms MH - Radiotherapy Dosage MH - Radiotherapy Planning, Computer-Assisted/methods MH - Radiotherapy, Conformal/*methods MH - Radiotherapy, Intensity-Modulated/*methods OTO - NOTNLM OT - Nasopharyngeal cancer OT - Organs at risk OT - Radiotherapy OT - Treatment techniques EDAT- 2017/11/03 06:00 MHDA- 2018/02/22 06:00 CRDT- 2017/11/03 06:00 PHST- 2017/06/17 00:00 [received] PHST- 2017/10/09 00:00 [accepted] PHST- 2017/11/03 06:00 [pubmed] PHST- 2018/02/22 06:00 [medline] PHST- 2017/11/03 06:00 [entrez] AID - 10.1007/s11547-017-0824-9 [pii] AID - 10.1007/s11547-017-0824-9 [doi] PST - ppublish SO - Radiol Med. 2018 Mar;123(3):217-226. doi: 10.1007/s11547-017-0824-9. Epub 2017 Nov 1.