Correlation between bone marrow dose volumes andacute hematological toxicity in postoperative gynecological cancer patients

Qian Li, Ming-Hua Jiang, Jing Chen, Wei Liu, Bi-Qing Zhu, E-Mei Lu

Abstract


Objective: To identify the association between radiation dose volume and acute hematological toxicity (HT) in postoperative gynecological cancer patients receiving whole pelvic radiotherapy (RT) or intensity-modulated RT (IMRT), a principal component regression model was used to calculate HT.

Methods: Women (n=100) receiving with or without chemotherapy RT were retrospectively analyzed, 52 of whom received chemotherapy (paclitaxel and nedaplatin). The pelvis and lumbar vertebrae, defined as the prolong-pelvic bone marrow, were divided into the (1) combined ilium, ischium and pubis and the (2) lumbar vertebrae and the sacrum. The V5-V40 of subsides was calculated. The complete blood counts were recorded weekly. The principal component analysis was performed on volumes which generated the principal components (PCs), followed by using a logistic regression model.

Results: Forty-seven patients presented with grade 2-3 HT during RT. Chemotherapy increased the incidence of HT compared with RT alone (70.21% vs. 29.79%; p=0.001). Fifty-three patients with persistent HT developed more serious HT at an earlier stage of RT. The chemotherapy cycles and three PCs associated with grade 2-3 HT was identified to form the resulting principal logistic regression model.

Conclusion: A new method to calculate the NTCP was achieved by PCs logistic regression.

doi: https://doi.org/10.12669/pjms.326.11489

How to cite this:Li Q, Jiang MH, Chen J, Liu W, Zhu BQ, Lu EM. Correlation between bone marrow dose volumes and acute hematological toxicity in postoperative gynecological cancer patients. Pak J Med Sci. 2016;32(6):1547-1552.   doi: https://doi.org/10.12669/pjms.326.11489

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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