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06 May 2021 : Clinical Research  

Establishment and Verification of a Prediction Model for Symptomatic Radiation Pneumonitis in Patients with Esophageal Cancer Receiving Radiotherapy

Liu-Ting Yang1ABCDEFG, Lei Zhou1BC, Long Chen1ACDE, Shi-Xiong Liang1ADE, Jiang-Qiong Huang1DEF, Xiao-Dong Zhu12ACDEF*

DOI: 10.12659/MSM.930515

Med Sci Monit 2021; 27:e930515

Table 3 Univariate analysis of clinicopathologic, dosimetric, and inflammatory parameters in predicting symptomatic radiation pneumonitis.

Parametersχ2P
Sex (Male vs Female)0.0871.000
Age (≤60 vs >60; years)0.0650.799
Smoking (yes vs no)0.1200.729
Smoking index (<400 vs ≥400)0.0090.926
Drinking (yes vs no)0.0420.838
Location (Cervical/upper/middle/lower/multifocal)3.8430.428
T stage (T1–T2 vs T3–T4)2.3690.228
N stage (N0–N1 vs N2–N3)0.2440.621
M stage (M0 vs M1)1.7190.340
Clinical stages (I–II vs III–IV)0.3580.809
Chemotherapy (PF regimen vs TP regimen)2.7970.094
Chemotherapy cycle (<4 vs ≥4)1.5150.218
Pulmonary bulla (0/1/2/3)2.2810.516
Fractional dose (<2.13 Gy vs ≥2.13 cGy)0.3570.770
MLD (<1575.4 cGy vs ≥1575.4 cGy)5.3360.021
V5 (<86.5% vs ≥86.5%)6.4710.011
V10 (<64.5% vs ≥64.5%)7.2620.007
V15 (<45.5% vs ≥45.5%)4.8110.028
V20 (<28.5% vs ≥28.5%)4.8130.028
V25 (<22.5% vs ≥22.5%)1.660.198
V30 (<18.5% vs ≥18.5%)1.5940.207
V35 (<12.5% vs ≥12.5%)1.4320.231
V40 (<9.5% vs ≥9.5%)1.3780.240
NLR during RT (<8.14 vs ≥8.14)3.8240.051
PLR during RT (<523.78 vs ≥523.78)6.5040.004
LMR during RT (<0.75 vs ≥0.75)5.0170.025
SII during RT (<1554.23 vs ≥1554.23)4.4770.034
NLR at the end of RT (<7.98 vs ≥7.98)11.7280.001
PLR at the end of RT (<616.32 vs ≥616.32)6.3700.012
LMR at the end of RT (<0.685 vs ≥0.685)9.2660.002
SII at the end of RT (<1912.09 vs ≥1912.09)6.3460.012
PF – platinum-fluorouracil; TP – taxus-platinum; MLD – mean lung dose; NLR – neutrophil-to-lymphocyte ratio; RT – radiation therapy; PLR – platelet-to-lymphocyte ratio; LMR – lymphocyte-to-monocyte ratio; SII – systemic immune inflammation index.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750