ArticleFrontiers in oncology2026
Normal tissue complication probability model of temporal lobe injury following re-irradiation of CIRT for local recurrent nasopharyngeal carcinoma.
Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: Temporal lobe injury (TLI) is a significant complication after carbon-ion re-irradiation (reRT-CIRT) for locally recurrent nasopharyngeal carcinoma (rNPC). This study established normal tissue complication probability (NTCP) models for TLI based on (1) the second-course CIRT dose alone and (2) the cumulative dose of both radiotherapy courses, with the goal of defining clinically applicable, modality-specific dose constraints. Methods and materials: Eighty-nine rNPC patients who underwent reRT-CIRT between 2016 and 2020 were retrospectively analyzed. Deformable image registration transferred initial IMRT dose distributions onto CIRT planning scans, and voxel-wise cumulative equivalent doses in 2-Gy fractions (EQD Results: TLI occurred in 27 patients (30.3%), predominantly unilateral (24/27); 14 were Grade 1 (asymptomatic, MRI-detected only), 7 Grade 2, 5 Grade 3, and 1 Grade 4. The second-course D Conclusion: A CIRT-specific NTCP model based on the second-course D
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