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Radiotherapy of glioblastoma multiforme

Ruth G. Ramsey Department of Therapeutic Radiology, Chicago Wesley Memorial Hospital, Northwestern University, McGaw Medical Center, Chicago, Illinois

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William N. Brand Department of Therapeutic Radiology, Chicago Wesley Memorial Hospital, Northwestern University, McGaw Medical Center, Chicago, Illinois

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Page Range:
197–202
Volume/Issue:
Volume 39: Issue 2
DOI link:
https://doi.org/10.3171/jns.1973.39.2.0197
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✓ A comparison is made between limited field and whole brain irradiation in the treatment of 60 patients with intracranial glioblastomas, 34 of whom were picked at random for either treatment and 26 who were selected for specific treatment. A significant increase in overall survival time and tumor-free period was found in the limited field treatment groups and this was especially significant in those patients selected for limited field treatment. The improved results are felt to be due to the higher dose permissible because of avoidance of more sensitive brain-stem structures. Tumor location in the frontal lobe also appears significant in the longer survival of those patients selected for limited field treatment. More exact localization of the lesion by brain scan, surgery, and angiography also contribute to more efficient treatment and consequently better survival.

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Contributor Notes

Address reprint requests to: Ruth G. Ramsey, M.D., Carle Clinic, 602 West University Avenue, Urbana, Illinois 61801.
  • 1.

    Bouchard J: Radiation Therapy of Tumors and Diseases of the Nervous System. Philadelphia, Lea & Febiger, 1966 Bouchard J: Radiation Therapy of Tumors and Diseases of the Nervous System. Philadelphia, Lea & Febiger, 1966

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  • 2.

    Bucy PC, & Ciric I: Brain scans in diagnosis of brain tumors: scanning with chlormerodrin Hg 203 and chlormerodrin Hg 197. JAMA 191:437–443, 1965 Bucy PC, Ciric I: Brain scans in diagnosis of brain tumors: scanning with chlormerodrin Hg 203 and chlormerodrin Hg 197. JAMA 191:437–443, 1965

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  • 3.

    Concannon JP, , Kramer S, & Berry R: The extent of intracranial gliomata at autopsy and its relationships to techniques used in radiation therapy of brain tumors. Am J Roentgen 84:99–107, 1960 Concannon JP, Kramer S, Berry R: The extent of intracranial gliomata at autopsy and its relationships to techniques used in radiation therapy of brain tumors. Am J Roentgen 84:99–107, 1960

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  • 4.

    Jelsma R, & Bucy PC: Glioblastoma multiforme: its treatment and some factors effecting survival. Arch Neurol 20:161–171, 1969 Jelsma R, Bucy PC: Glioblastoma multiforme: its treatment and some factors effecting survival. Arch Neurol 20:161–171, 1969

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  • 5.

    Quinn JL III, , Ciric I, & Hauser WN: Analysis of 96 brain scans using technetium-99m (Pertechnetate Form). JAMA 194:157–160, 1965 Quinn JL III, Ciric I, Hauser WN: Analysis of 96 brain scans using technetium-99m (Pertechnetate Form). JAMA 194:157–160, 1965

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  • 6.

    Roig J, , Moss WT, & Quinn JL III: Usefulness of the brain scan in therapeutic radiology. Radiology 86:1082–1084, 1966 Roig J, Moss WT, Quinn JL III: Usefulness of the brain scan in therapeutic radiology. Radiology 86:1082–1084, 1966

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  • 7.

    Russell DS, & Rubinstein LJ: Pathology of Tumors of the Nervous System. London, E Arnold, 1963 Russell DS, Rubinstein LJ: Pathology of Tumors of the Nervous System. London, E Arnold, 1963

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  • 8.

    Taveras JM, , Thompson HG Jr, & Pool JL: Should we treat glioblastoma multiforme? A study of survival in 425 cases. Am J Roentgen 87:473–479, 1962 Taveras JM, Thompson HG Jr, Pool JL: Should we treat glioblastoma multiforme? A study of survival in 425 cases. Am J Roentgen 87:473–479, 1962

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  • 9.

    Todd IDH: Choice of volume in the X-ray treatment of supratentorial gliomas. Brit J Radiol 36:645–649, 1963 Todd IDH: Choice of volume in the X-ray treatment of supratentorial gliomas. Brit J Radiol 36:645–649, 1963

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