放射外科
医学
医学物理学
放射治疗计划
立体定向放射治疗
最佳实践
放射科
放射治疗
经济
管理
作者
Diana Grishchuk,Alexis Dimitriadis,Arjun Sahgal,Antonio De Salles,Laura Fariselli,Rupesh Kotecha,Marc Levivier,Lijun Ma,Bruce E. Pollock,Jean Régis,Jason P. Sheehan,John H. Suh,Shoji Yomo,Ian Paddick
标识
DOI:10.1016/j.prro.2022.10.013
摘要
The objective of this literature review was to develop International Stereotactic Radiosurgery Society (ISRS) consensus technical guidelines for the treatment of small, ≤1 cm in maximal diameter, intracranial metastases with stereotactic radiosurgery. Although different stereotactic radiosurgery technologies are available, most of them have similar treatment workflows and common technical challenges that are described.A systematic review of the literature published between 2009 and 2020 was performed in Pubmed using the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) methodology. The search terms were limited to those related to radiosurgery of brain metastases and to publications in the English language.From 484 collected abstract 37 articles were included into the detailed review and bibliographic analysis. An additional 44 papers were identified as relevant from a search of the references. The 81 papers, including additional 7 international guidelines, were deemed relevant to at least one of five areas that were considered paramount for this report. These areas of technical focus have been employed to structure these guidelines: imaging specifications, target volume delineation and localization practices, use of margins, treatment planning techniques, and patient positioning.This systematic review has demonstrated that Stereotactic Radiosurgery (SRS) for small (1 cm) brain metastases can be safely performed on both Gamma Knife (GK) and CyberKnife (CK) as well as on modern LINACs, specifically tailored for radiosurgical procedures, However, considerable expertise and resources are required for a program based on the latest evidence for best practice.
科研通智能强力驱动
Strongly Powered by AbleSci AI