Stereotactic body radiotherapy for liver tumors Principles and practical guidelines of the DEGRO Working Group on Stereotactic Radiotherapy

被引:85
|
作者
Sterzing, Florian [1 ,2 ]
Brunner, Thomas B. [3 ]
Ernst, Iris [4 ]
Baus, Wolfgang W. [5 ]
Greve, Burkhard [4 ]
Herfarth, Klaus [2 ]
Guckenberger, Matthias [6 ]
机构
[1] Deutsch Krebsforschungszentrum Dkfz, Klin Kooperat Einheit Strahlentherapie, D-69120 Heidelberg, Germany
[2] Radiol Univ Klin, Abt Radioonkol & Strahlentherapie, Heidelberg, Germany
[3] Univ Freiburg Klinikum, Radiol Klin, Klin Strahlenheilkunde, Freiburg, Germany
[4] Univ Klinikum Munster, Klin Strahlentherapie Radioonkol, Munster, Germany
[5] Univ Klinikum Koln, Klin & Poliklin Strahlentherapie, Cologne, Germany
[6] Univ Spital Zurich, Klin Radioonkol, Zurich, Switzerland
关键词
Liver SBRT; Radiosurgery; Focal liver irradiation; Liver metastases; Hepatocellular carcinoma; PHASE-I/II TRIAL; PRIMARY HEPATOCELLULAR-CARCINOMA; COLORECTAL-CANCER METASTASES; RADIATION-THERAPY; HEPATIC RESECTION; SINGLE INSTITUTION; INTRAHEPATIC CHOLANGIOCARCINOMA; RADIOFREQUENCY ABLATION; SBRT; MOTION;
D O I
10.1007/s00066-014-0714-1
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose. This report of the Working Group on Stereotactic Radiotherapy of the German Society of Radiation Oncology (DEGRO) aims to provide a practical guideline for safe and effective stereotactic body radiotherapy (SBRT) of liver tumors. Methods. The literature on the clinical evidence of SBRT for both primary liver tumors and liver metastases was reviewed and analyzed focusing on both physical requirements and special biological characteristics. Results. Recommendations were developed for patient selection, imaging, planning, treatment delivery, motion management, dose reporting, and follow-up. Radiation dose constraints to critical organs at risk are provided. Conclusion. SBRT is a well-established treatment option for primary and secondary liver tumors associated with low morbidity.
引用
收藏
页码:872 / 881
页数:10
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