Stereotactic Radiotherapy for Pulmonary Oligometastases From Colorectal Cancer: A Systematic Review and Meta-Analysis
Purpose: The purpose of this study was to determine whether pulmonary oligometastases from colorectal cancer have greater radioresistance than that of pulmonary oligometastases from other cancers and whether good local control can be achieved by dose escalation in stereotactic body radiotherapy. Mat...
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| Veröffentlicht in: | Technology in Cancer Research & Treatment 2018-01, Vol.17, p.1533033818794936-1533033818794936 |
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| creator | Jingu, Keiichi Matsushita, Haruo Yamamoto, Takaya Umezawa, Rei Ishikawa, Yojiro Takahashi, Noriyoshi Katagiri, Yu Takeda, Kazuya Kadoya, Noriyuki |
| description | Purpose:
The purpose of this study was to determine whether pulmonary oligometastases from colorectal cancer have greater radioresistance than that of pulmonary oligometastases from other cancers and whether good local control can be achieved by dose escalation in stereotactic body radiotherapy.
Materials and Methods:
This systematic review and meta-analysis were conducted according to the preferred reporting items for systematic reviews and meta-analyses statement and methods. Studies were obtained from a database search of PubMed, Web of Science, and Google Scholar for publications using search terms designed to identify studies on “oligometastases,” “lung,” “stereotactic radiotherapy,” and “colorectal cancer.” For meta-analysis 1, studies that showed the number of local failures after stereotactic body radiotherapy for pulmonary metastases from colorectal carcinoma and other cancers were included. For meta-analysis2, studies in which a comparison was made of local control rates of pulmonary metastases from colorectal carcinoma by stereotactic body radiotherapy with a higher dose and that with a lower dose were included. A meta-analysis was performed using Mantel-Haenszel statics with the fixed or random-effect model by Review Manager 5.3.
Results:
Eighteen retrospective studies with 1920 patients with pulmonary oligometastases were used in meta-analysis 1. The local control rate in patients with pulmonary oligometastases from colorectal cancer was significantly lower than that in patients with pulmonary oligometastases from other cancers (odds ratio = 3.10, P < .00001). Next, 8 retrospective studies with 478 patients were included in meta-analysis 2 for dose escalation. Better local control was achieved by a higher prescription dose than by a lower prescription dose (odds ratio = 0.16, P < .00001).
Conclusion:
Our meta-analysis indicated that local control of pulmonary oligometastases from colorectal cancer by stereotactic body radiotherapy was significantly worse than that of pulmonary metastases from other cancers; however, our results also indicated that good local control of pulmonary oligometastases from colorectal cancer can be achieved by dose escalation. |
| doi_str_mv | 10.1177/1533033818794936 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6111389</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1533033818794936</sage_id><sourcerecordid>2094415584</sourcerecordid><originalsourceid>FETCH-LOGICAL-c572t-5d0d288abee74255438092bb8eea127a697876de335c9446713d82d378697bdf3</originalsourceid><addsrcrecordid>eNp1kd1rFDEUxQdRbK2--yQBX_oyNZ-TxAdhWawWKhWrzyGT3N2mzEzWJFPZ_96sW1ctCIGEe3_33BxO07wk-IwQKd8QwRhmTBElNdese9Qc70rtrvb48ObdUfMs51uMadcx8rQ5YphwoTk7bubrAglisa4Eh75YH2K5gWQ3W7SKCX2ehzFONm3R1RDWcYRicz2Q0XmKI1rGISZwxQ5oaScH6S1aoOttLjDaX3pwF-AHspNHn-pou5jssM0hP2-erOyQ4cX9fdJ8O3__dfmxvbz6cLFcXLZOSFpa4bGnStkeQHIqBGcKa9r3CsASKm2npZKdB8aE05x3kjCvqGdS1U7vV-ykebfX3cz9CN7BVJIdzCaFsXoy0Qbzb2cKN2Yd70xHCGFKV4HTe4EUv8-QixlDdjAMdoI4Z0Nx3UuEULyirx-gt3FO1XClGGFaEapZpfCecinmnGB1-AzBZpepeZhpHXn1t4nDwO8QK9DugWzX8GfrfwV_AmZjqkw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2313981293</pqid></control><display><type>article</type><title>Stereotactic Radiotherapy for Pulmonary Oligometastases From Colorectal Cancer: A Systematic Review and Meta-Analysis</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Sage Journals GOLD Open Access 2024</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Jingu, Keiichi ; Matsushita, Haruo ; Yamamoto, Takaya ; Umezawa, Rei ; Ishikawa, Yojiro ; Takahashi, Noriyoshi ; Katagiri, Yu ; Takeda, Kazuya ; Kadoya, Noriyuki</creator><creatorcontrib>Jingu, Keiichi ; Matsushita, Haruo ; Yamamoto, Takaya ; Umezawa, Rei ; Ishikawa, Yojiro ; Takahashi, Noriyoshi ; Katagiri, Yu ; Takeda, Kazuya ; Kadoya, Noriyuki</creatorcontrib><description>Purpose:
The purpose of this study was to determine whether pulmonary oligometastases from colorectal cancer have greater radioresistance than that of pulmonary oligometastases from other cancers and whether good local control can be achieved by dose escalation in stereotactic body radiotherapy.
Materials and Methods:
This systematic review and meta-analysis were conducted according to the preferred reporting items for systematic reviews and meta-analyses statement and methods. Studies were obtained from a database search of PubMed, Web of Science, and Google Scholar for publications using search terms designed to identify studies on “oligometastases,” “lung,” “stereotactic radiotherapy,” and “colorectal cancer.” For meta-analysis 1, studies that showed the number of local failures after stereotactic body radiotherapy for pulmonary metastases from colorectal carcinoma and other cancers were included. For meta-analysis2, studies in which a comparison was made of local control rates of pulmonary metastases from colorectal carcinoma by stereotactic body radiotherapy with a higher dose and that with a lower dose were included. A meta-analysis was performed using Mantel-Haenszel statics with the fixed or random-effect model by Review Manager 5.3.
Results:
Eighteen retrospective studies with 1920 patients with pulmonary oligometastases were used in meta-analysis 1. The local control rate in patients with pulmonary oligometastases from colorectal cancer was significantly lower than that in patients with pulmonary oligometastases from other cancers (odds ratio = 3.10, P < .00001). Next, 8 retrospective studies with 478 patients were included in meta-analysis 2 for dose escalation. Better local control was achieved by a higher prescription dose than by a lower prescription dose (odds ratio = 0.16, P < .00001).
Conclusion:
Our meta-analysis indicated that local control of pulmonary oligometastases from colorectal cancer by stereotactic body radiotherapy was significantly worse than that of pulmonary metastases from other cancers; however, our results also indicated that good local control of pulmonary oligometastases from colorectal cancer can be achieved by dose escalation.</description><identifier>ISSN: 1533-0346</identifier><identifier>EISSN: 1533-0338</identifier><identifier>DOI: 10.1177/1533033818794936</identifier><identifier>PMID: 30145943</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Colorectal cancer ; Colorectal Neoplasms - pathology ; Colorectal Neoplasms - radiotherapy ; Dose Fractionation, Radiation ; Humans ; Lung cancer ; Lung Neoplasms - pathology ; Lung Neoplasms - radiotherapy ; Lung Neoplasms - secondary ; Meta-analysis ; Metastasis ; Neoplasm Metastasis ; Radiation therapy ; Radiosurgery ; Stereotactic Body Radiotherapy for Cancers of Various Organs-Review ; Systematic review</subject><ispartof>Technology in Cancer Research & Treatment, 2018-01, Vol.17, p.1533033818794936-1533033818794936</ispartof><rights>The Author(s) 2018</rights><rights>The Author(s) 2018. This work is licensed under the Creative Commons Attribution – Non-Commercial License http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2018 2018 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c572t-5d0d288abee74255438092bb8eea127a697876de335c9446713d82d378697bdf3</citedby><cites>FETCH-LOGICAL-c572t-5d0d288abee74255438092bb8eea127a697876de335c9446713d82d378697bdf3</cites><orcidid>0000-0002-8615-2165 ; 0000-0002-7032-1577</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111389/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111389/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,313,314,723,776,780,788,860,881,21947,27832,27901,27903,27904,44924,45312,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30145943$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jingu, Keiichi</creatorcontrib><creatorcontrib>Matsushita, Haruo</creatorcontrib><creatorcontrib>Yamamoto, Takaya</creatorcontrib><creatorcontrib>Umezawa, Rei</creatorcontrib><creatorcontrib>Ishikawa, Yojiro</creatorcontrib><creatorcontrib>Takahashi, Noriyoshi</creatorcontrib><creatorcontrib>Katagiri, Yu</creatorcontrib><creatorcontrib>Takeda, Kazuya</creatorcontrib><creatorcontrib>Kadoya, Noriyuki</creatorcontrib><title>Stereotactic Radiotherapy for Pulmonary Oligometastases From Colorectal Cancer: A Systematic Review and Meta-Analysis</title><title>Technology in Cancer Research & Treatment</title><addtitle>Technol Cancer Res Treat</addtitle><description>Purpose:
The purpose of this study was to determine whether pulmonary oligometastases from colorectal cancer have greater radioresistance than that of pulmonary oligometastases from other cancers and whether good local control can be achieved by dose escalation in stereotactic body radiotherapy.
Materials and Methods:
This systematic review and meta-analysis were conducted according to the preferred reporting items for systematic reviews and meta-analyses statement and methods. Studies were obtained from a database search of PubMed, Web of Science, and Google Scholar for publications using search terms designed to identify studies on “oligometastases,” “lung,” “stereotactic radiotherapy,” and “colorectal cancer.” For meta-analysis 1, studies that showed the number of local failures after stereotactic body radiotherapy for pulmonary metastases from colorectal carcinoma and other cancers were included. For meta-analysis2, studies in which a comparison was made of local control rates of pulmonary metastases from colorectal carcinoma by stereotactic body radiotherapy with a higher dose and that with a lower dose were included. A meta-analysis was performed using Mantel-Haenszel statics with the fixed or random-effect model by Review Manager 5.3.
Results:
Eighteen retrospective studies with 1920 patients with pulmonary oligometastases were used in meta-analysis 1. The local control rate in patients with pulmonary oligometastases from colorectal cancer was significantly lower than that in patients with pulmonary oligometastases from other cancers (odds ratio = 3.10, P < .00001). Next, 8 retrospective studies with 478 patients were included in meta-analysis 2 for dose escalation. Better local control was achieved by a higher prescription dose than by a lower prescription dose (odds ratio = 0.16, P < .00001).
Conclusion:
Our meta-analysis indicated that local control of pulmonary oligometastases from colorectal cancer by stereotactic body radiotherapy was significantly worse than that of pulmonary metastases from other cancers; however, our results also indicated that good local control of pulmonary oligometastases from colorectal cancer can be achieved by dose escalation.</description><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Colorectal Neoplasms - radiotherapy</subject><subject>Dose Fractionation, Radiation</subject><subject>Humans</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - radiotherapy</subject><subject>Lung Neoplasms - secondary</subject><subject>Meta-analysis</subject><subject>Metastasis</subject><subject>Neoplasm Metastasis</subject><subject>Radiation therapy</subject><subject>Radiosurgery</subject><subject>Stereotactic Body Radiotherapy for Cancers of Various Organs-Review</subject><subject>Systematic review</subject><issn>1533-0346</issn><issn>1533-0338</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kd1rFDEUxQdRbK2--yQBX_oyNZ-TxAdhWawWKhWrzyGT3N2mzEzWJFPZ_96sW1ctCIGEe3_33BxO07wk-IwQKd8QwRhmTBElNdese9Qc70rtrvb48ObdUfMs51uMadcx8rQ5YphwoTk7bubrAglisa4Eh75YH2K5gWQ3W7SKCX2ehzFONm3R1RDWcYRicz2Q0XmKI1rGISZwxQ5oaScH6S1aoOttLjDaX3pwF-AHspNHn-pou5jssM0hP2-erOyQ4cX9fdJ8O3__dfmxvbz6cLFcXLZOSFpa4bGnStkeQHIqBGcKa9r3CsASKm2npZKdB8aE05x3kjCvqGdS1U7vV-ykebfX3cz9CN7BVJIdzCaFsXoy0Qbzb2cKN2Yd70xHCGFKV4HTe4EUv8-QixlDdjAMdoI4Z0Nx3UuEULyirx-gt3FO1XClGGFaEapZpfCecinmnGB1-AzBZpepeZhpHXn1t4nDwO8QK9DugWzX8GfrfwV_AmZjqkw</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Jingu, Keiichi</creator><creator>Matsushita, Haruo</creator><creator>Yamamoto, Takaya</creator><creator>Umezawa, Rei</creator><creator>Ishikawa, Yojiro</creator><creator>Takahashi, Noriyoshi</creator><creator>Katagiri, Yu</creator><creator>Takeda, Kazuya</creator><creator>Kadoya, Noriyuki</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8615-2165</orcidid><orcidid>https://orcid.org/0000-0002-7032-1577</orcidid></search><sort><creationdate>20180101</creationdate><title>Stereotactic Radiotherapy for Pulmonary Oligometastases From Colorectal Cancer: A Systematic Review and Meta-Analysis</title><author>Jingu, Keiichi ; Matsushita, Haruo ; Yamamoto, Takaya ; Umezawa, Rei ; Ishikawa, Yojiro ; Takahashi, Noriyoshi ; Katagiri, Yu ; Takeda, Kazuya ; Kadoya, Noriyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c572t-5d0d288abee74255438092bb8eea127a697876de335c9446713d82d378697bdf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Colorectal cancer</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Colorectal Neoplasms - radiotherapy</topic><topic>Dose Fractionation, Radiation</topic><topic>Humans</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - radiotherapy</topic><topic>Lung Neoplasms - secondary</topic><topic>Meta-analysis</topic><topic>Metastasis</topic><topic>Neoplasm Metastasis</topic><topic>Radiation therapy</topic><topic>Radiosurgery</topic><topic>Stereotactic Body Radiotherapy for Cancers of Various Organs-Review</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jingu, Keiichi</creatorcontrib><creatorcontrib>Matsushita, Haruo</creatorcontrib><creatorcontrib>Yamamoto, Takaya</creatorcontrib><creatorcontrib>Umezawa, Rei</creatorcontrib><creatorcontrib>Ishikawa, Yojiro</creatorcontrib><creatorcontrib>Takahashi, Noriyoshi</creatorcontrib><creatorcontrib>Katagiri, Yu</creatorcontrib><creatorcontrib>Takeda, Kazuya</creatorcontrib><creatorcontrib>Kadoya, Noriyuki</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Technology in Cancer Research & Treatment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jingu, Keiichi</au><au>Matsushita, Haruo</au><au>Yamamoto, Takaya</au><au>Umezawa, Rei</au><au>Ishikawa, Yojiro</au><au>Takahashi, Noriyoshi</au><au>Katagiri, Yu</au><au>Takeda, Kazuya</au><au>Kadoya, Noriyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stereotactic Radiotherapy for Pulmonary Oligometastases From Colorectal Cancer: A Systematic Review and Meta-Analysis</atitle><jtitle>Technology in Cancer Research & Treatment</jtitle><addtitle>Technol Cancer Res Treat</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>17</volume><spage>1533033818794936</spage><epage>1533033818794936</epage><pages>1533033818794936-1533033818794936</pages><issn>1533-0346</issn><eissn>1533-0338</eissn><abstract>Purpose:
The purpose of this study was to determine whether pulmonary oligometastases from colorectal cancer have greater radioresistance than that of pulmonary oligometastases from other cancers and whether good local control can be achieved by dose escalation in stereotactic body radiotherapy.
Materials and Methods:
This systematic review and meta-analysis were conducted according to the preferred reporting items for systematic reviews and meta-analyses statement and methods. Studies were obtained from a database search of PubMed, Web of Science, and Google Scholar for publications using search terms designed to identify studies on “oligometastases,” “lung,” “stereotactic radiotherapy,” and “colorectal cancer.” For meta-analysis 1, studies that showed the number of local failures after stereotactic body radiotherapy for pulmonary metastases from colorectal carcinoma and other cancers were included. For meta-analysis2, studies in which a comparison was made of local control rates of pulmonary metastases from colorectal carcinoma by stereotactic body radiotherapy with a higher dose and that with a lower dose were included. A meta-analysis was performed using Mantel-Haenszel statics with the fixed or random-effect model by Review Manager 5.3.
Results:
Eighteen retrospective studies with 1920 patients with pulmonary oligometastases were used in meta-analysis 1. The local control rate in patients with pulmonary oligometastases from colorectal cancer was significantly lower than that in patients with pulmonary oligometastases from other cancers (odds ratio = 3.10, P < .00001). Next, 8 retrospective studies with 478 patients were included in meta-analysis 2 for dose escalation. Better local control was achieved by a higher prescription dose than by a lower prescription dose (odds ratio = 0.16, P < .00001).
Conclusion:
Our meta-analysis indicated that local control of pulmonary oligometastases from colorectal cancer by stereotactic body radiotherapy was significantly worse than that of pulmonary metastases from other cancers; however, our results also indicated that good local control of pulmonary oligometastases from colorectal cancer can be achieved by dose escalation.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>30145943</pmid><doi>10.1177/1533033818794936</doi><orcidid>https://orcid.org/0000-0002-8615-2165</orcidid><orcidid>https://orcid.org/0000-0002-7032-1577</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Colorectal cancer Colorectal Neoplasms - pathology Colorectal Neoplasms - radiotherapy Dose Fractionation, Radiation Humans Lung cancer Lung Neoplasms - pathology Lung Neoplasms - radiotherapy Lung Neoplasms - secondary Meta-analysis Metastasis Neoplasm Metastasis Radiation therapy Radiosurgery Stereotactic Body Radiotherapy for Cancers of Various Organs-Review Systematic review |
| title | Stereotactic Radiotherapy for Pulmonary Oligometastases From Colorectal Cancer: A Systematic Review and Meta-Analysis |
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