Whole-Brain Radiation Therapy Versus Stereotactic Radiosurgery for Cerebral Metastases

被引：14

作者：

Perlow, Haley K. ^{[1
,2
]}

Dibs, Khaled ^{[1
,2
]}

Liu, Kevin ^{[1
,2
]}

Jiang, William ^{[1
,2
]}

Rajappa, Prajwal ^{[1
,2
,3
,4
]}

Blakaj, Dukagjin M. ^{[1
,2
]}

Palmer, Joshua ^{[1
,2
]}

Raval, Raju R. ^{[1
,2
]}

机构：

[1] Ohio State Univ, Wexner Med Ctr, James Canc Hosp, Dept Radiat Oncol, 460 West 10th Ave,Suite D252, Columbus, OH 43210 USA

[2] Ohio State Univ, Wexner Med Ctr, Solove Res Inst, 460 West 10th Ave,Suite D252, Columbus, OH 43210 USA

[3] Nationwide Childrens Hosp, Dept Neurol Surg, Columbus, OH USA

[4] Nationwide Childrens Hosp, Dept Pediat, Columbus, OH USA

来源：

NEUROSURGERY CLINICS OF NORTH AMERICA | 2020年 / 31卷 / 04期

关键词：

WBRT; SRS; Stereotactic radiosurgery; Brain metastases; Radiation; Whole-brain radiation therapy; POSTOPERATIVE RESECTION CAVITY; CELL LUNG-CANCER; GAMMA-KNIFE; PROGNOSTIC-FACTORS; SINGLE METASTASES; LOCAL-CONTROL; RADIOTHERAPY; MEMANTINE; RISK; SURGERY;

D O I：

10.1016/j.nec.2020.06.006

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Whole-brain radiation therapy (WBRT) was frequently used to treat brain metastases in the past. Stereotactic radiosurgery (SRS) is now generally preferred to WBRT for patients with limited brain metastases. SRS can also be used to treat extensive brain metastases (>10–15 metastases), and clinical trials are currently comparing WBRT with SRS for extensive disease. SRS may allow for an increased risk of radiation necrosis or leptomeningeal disease dissemination after treatment. Preoperative SRS and multifraction radiotherapy decrease the risk of these side effects and may soon become standard of care. Combining SRS with immune checkpoint inhibitors may improve patient outcomes. © 2020 Elsevier Inc.

引用

页码：565 / 573

页数：9

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