ISRS Technical Guidelines for Stereotactic Radiosurgery: Treatment of Small Brain Metastases (≤1 cm in Diameter)

被引：22

作者：

Grishchuk, Diana ^{[1
]}

Dimitriadis, Alexis ^{[1
]}

Sahgal, Arjun ^{[2
]}

De Salles, Antonio ^{[3
]}

Fariselli, Laura ^{[4
]}

Kotecha, Rupesh ^{[5
]}

Levivier, Marc ^{[6
]}

Ma, Lijun ^{[7
]}

Pollock, Bruce E. ^{[8
]}

Regis, Jean ^{[9
]}

Sheehan, Jason ^{[10
]}

Suh, John ^{[11
]}

Yomo, Shoji ^{[12
]}

Paddick, Ian ^{[1
,2
]}

机构：

[1] Natl Hosp Neurol & Neurosurg, London, England

[2] Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Radiat Oncol, Toronto, ON, Canada

[3] Univ Calif Los Angeles, Dept Neurosurg, Los Angeles, CA USA

[4] Fdn IRCCS Ist Neurol Carlo Besta Milano, Radiotherapy Unit, Unita Radiotherapia, Milan, Italy

[5] Baptist Hlth South Florida, Miami Canc Inst, Dept Radiat Oncol, Miami, FL USA

[6] CHU Vaudois, Gamma Knife Ctr, Neurosurg Serv, Lausanne, Switzerland

[7] Univ Calif San Francisco, Dept Radiat Oncol, San Francisco, CA USA

[8] Mayo Clin, Dept Neurol Surg, Rochester, MN USA

[9] Marseille Univ, La Timone Hosp, Dept Funct Neurosurg, Marseille, France

[10] Univ Virginia, Dept Neurol Surg, Charlottesville, VA USA

[11] Cleveland Clin, Dept Radiat Oncol, Cleveland, OH USA

[12] Aizawa Hosp, Aizawa Comprehens Canc Ctr, Div Radiat Oncol, Matsumoto, Japan

来源：

PRACTICAL RADIATION ONCOLOGY | 2023年 / 13卷 / 03期

关键词：

MAGNETIC-RESONANCE IMAGES; MULTILEAF COLLIMATOR; QUALITY-ASSURANCE; SPIN-ECHO; ACCURACY; IMPACT; FRAMELESS; DEFINITION; DELIVERY; SYSTEM;

D O I：

10.1016/j.prro.2022.10.013

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose: The objective of this literature review was to develop International Stereotactic Radiosurgery Society (ISRS) consensus techni-cal 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. Methods and Materials: 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. Results: 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. Conclusions: 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. (c) 2022 The Author(s). Published by Elsevier Inc. on behalf of American Society for Radiation Oncology. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

引用

页码：183 / 194

页数：12

共 81 条

[1] Optimizing Contrast-Enhanced Magnetic Resonance Imaging Characterization of Brain Metastases: Relevance to Stereotactic Radiosurgery [J].