Intensity-Modulated Radiotherapy of Sacral Chordoma

Authors

  • Christoph Thilmann From the Department of Radiotherapy, German Cancer Research Center (C. Thilmann, A. Zabel, K.K. Herfarth, J. Debus) and the Department of Radiotherapy, University of Heidelberg (D. SchulzErtner, J. Debus), Heidelberg, Germany
  • Daniela Schulz-Ertner From the Department of Radiotherapy, German Cancer Research Center (C. Thilmann, A. Zabel, K.K. Herfarth, J. Debus) and the Department of Radiotherapy, University of Heidelberg (D. SchulzErtner, J. Debus), Heidelberg, Germany
  • Angelika Zabel From the Department of Radiotherapy, German Cancer Research Center (C. Thilmann, A. Zabel, K.K. Herfarth, J. Debus) and the Department of Radiotherapy, University of Heidelberg (D. SchulzErtner, J. Debus), Heidelberg, Germany
  • Klaus K. Herfarth From the Department of Radiotherapy, German Cancer Research Center (C. Thilmann, A. Zabel, K.K. Herfarth, J. Debus) and the Department of Radiotherapy, University of Heidelberg (D. SchulzErtner, J. Debus), Heidelberg, Germany
  • Michael Wannenmacher From the Department of Radiotherapy, German Cancer Research Center (C. Thilmann, A. Zabel, K.K. Herfarth, J. Debus) and the Department of Radiotherapy, University of Heidelberg (D. SchulzErtner, J. Debus), Heidelberg, Germany
  • Jürgen Debus From the Department of Radiotherapy, German Cancer Research Center (C. Thilmann, A. Zabel, K.K. Herfarth, J. Debus) and the Department of Radiotherapy, University of Heidelberg (D. SchulzErtner, J. Debus), Heidelberg, Germany

DOI:

https://doi.org/10.1080/028418602760169460

Abstract

In a case of partially resected sacral chordoma, the planning target volume (PTV) received 60 Gy and the gross target volume (GTV) 72 Gy using inversely planned, intensity-modulated, radiation therapy (IMRT). IMRT was compared with 3D-conformal radiotherapy (CRT). With IMRT, it was found that dose distribution is more homogeneous within the PTV outside the GTV and allows simultaneous dose escalation within the GTV. The volume of bowel receiving a dose higher than 40 G y was reduced from 400cc with CRT to 220cc with IMRT. If particle therapy is not available, IMRT seems to be a promising alternative in the treatment of sacral chordomas.

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Published

2002-01-01

How to Cite

Thilmann, C., Schulz-Ertner, D. ., Zabel, A. ., Herfarth, K. K. ., Wannenmacher, M., & Debus, J. . (2002). Intensity-Modulated Radiotherapy of Sacral Chordoma. Acta Oncologica, 41(4), 395–399. https://doi.org/10.1080/028418602760169460