Radiation-Induced Edema After Single-Fraction or Multifraction Stereotactic Radiosurgery for Meningioma: A Critical Review

被引:31
作者
Milano, Michael T. [1 ]
Sharma, Manju [1 ]
Soltys, Scott G. [2 ]
Sahgal, Arjun [3 ]
Usuki, Kenneth Y. [1 ]
Saenz, Jon-Michael [1 ]
Grimm, Jimm [4 ]
El Naqa, Issam [5 ]
机构
[1] Univ Rochester, Dept Radiat Oncol, Rochester, NY 14642 USA
[2] Stanford Univ, Med Ctr, Dept Radiat Oncol, Stanford, CA 94305 USA
[3] Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Radiat Oncol, Odette Canc Ctr, Toronto, ON, Canada
[4] Johns Hopkins Univ, Sch Med, Dept Radiat Oncol & Mol Radiat Sci, Baltimore, MD USA
[5] Univ Michigan Hosp, Dept Radiat Oncol, Ann Arbor, MI 48109 USA
来源
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS | 2018年 / 101卷 / 02期
关键词
GAMMA-KNIFE RADIOSURGERY; PERITUMORAL BRAIN EDEMA; INTRACRANIAL MENINGIOMAS; PARASAGITTAL MENINGIOMAS; BENIGN MENINGIOMAS; PARAFALCINE MENINGIOMAS; EARLY COMPLICATIONS; THERAPY; SURGERY; RADIOTHERAPY;
D O I
10.1016/j.ijrobp.2018.03.026
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: Potential dosimetric and clinicopathologic predictors of radiation-induced brain edema after single-fraction or multifraction stereotactic radiosurgery (SRS) for non-base of skull (non-BOS) meningiomas are summarized based on a systematic review of the published literature. Methods and Materials: Reviewed studies (PubMed indexed from 1998 through 2017) included all or some non-BOS meningioma patients, reported risks of edema after SRS, and correlated dosimetric and/or nondosimetric measures with the magnitude of risk. Results: Twenty-six studies reporting risks of edema after SRS for meningioma are reviewed. The treatment techniques as well as distribution of tumor locations, target dosing, and target volume varied across studies. Among 13 studies that included only non-BOS tumors or separately grouped non-BOS tumors, symptomatic edema occurred in 5% to 43% of patients and any edema occurred in 28% to 50%. The reported average time to onset of edema ranged from approximately 3 to 9 months in most studies. Factors reported to significantly correlate with increased risks of edema and/or symptomatic edema after SRS for meningioma include the following: greater tumor margin and/or maximum dose, greater tumor size and/or volume, non-BOS (particularly parasagittal) location, no prior resection for meningioma, and presence of pretreatment edema. Nevertheless, the extent and significance of these factors were inconsistent across studies. Potentially important dosimetric factors, such as volume of brain or tissue receiving single-fraction doses > 10 to 12 Gy, are not well studied. Conclusions: The variability in risks of edema and in factors impacting those risks is likely a result of differences across studies in the clinicopathologic characteristics of the patient populations, as well as differences in treatment modalities and SRS planning and delivery parameters. More studies on pooled populations, grouped by potential prognostic factors such as tumor location and prior therapy, are needed to better understand dosimetric and nondosimetric factors predictive of edema risk after SRS for meningioma. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码:344 / 357
页数:14
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