Stereotactic Radiosurgery in the Management of Brain Metastases: A Case-Based Radiosurgery Society Practice Guideline.

Autor:	Ladbury C; Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California., Pennock M; Department of Radiation Oncology, Montefiore Einstein Cancer Center, Bronx, New York., Yilmaz T; Department of Radiation Oncology, Necmettin Erbakan University Meram Medical Faculty Hospital, Konya, Turkey., Ankrah NK; Department of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama., Andraos T; Department of Radiation Oncology, The Ohio State University James Cancer Hospital, Columbus, Ohio., Gogineni E; Department of Radiation Oncology, The Ohio State University James Cancer Hospital, Columbus, Ohio., Kim GG; Department of Radiation Oncology, University of California San Diego, San Diego, California., Gibbs I; Department of Radiation Oncology, Stanford University School of Medicine, Stanford, California., Shih HA; Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts., Hattangadi-Gluth J; Department of Radiation Oncology, University of California San Diego, San Diego, California., Chao ST; Department of Radiation Oncology, Cleveland Clinic, Cleveland, Ohio., Pannullo SC; Department of Neurological Surgery, New York Presbyterian Hospital and Weill Cornell Medicine, New York, New York., Slotman B; Department of Radiation Oncology, Amsterdam UMC, Amsterdam, Netherlands., Redmond KJ; Department of Radiation Oncology, Johns Hopkins Medicine, Baltimore, Maryland., Lo SS; Department of Radiation Oncology, University of Washington, Seattle, Washington., Schulder M; Department of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Lake Success, New York.
Jazyk:	angličtina
Zdroj:	Advances in radiation oncology [Adv Radiat Oncol] 2023 Nov 03; Vol. 9 (3), pp. 101402. Date of Electronic Publication: 2023 Nov 03 (Print Publication: 2024).
DOI:	10.1016/j.adro.2023.101402
Abstrakt:	Purpose: Brain metastases are common among adult patients with solid malignancies and are increasingly being treated with stereotactic radiosurgery (SRS). As more patients with brain metastases are becoming eligible for SRS, there is a need for practical review of patient selection and treatment considerations. Methods and Materials: Two patient cases were identified to use as the foundation for a discussion of a wide and representative range of management principles: (A) SRS alone for 5 to 15 lesions and (B) a large single metastasis to be treated with pre- or postoperative SRS. Patient selection, fractionation, prescription dose, treatment technique, and dose constraints are discussed. Literature relevant to these cases is summarized to provide a framework for treatment of similar patients. Results: Treatment of brain metastases with SRS requires many considerations including optimal patient selection, fractionation selection, and plan optimization. Conclusions: Case-based practice guidelines developed by the Radiosurgery Society provide a practical guide to the common scenarios noted above affecting patients with metastatic brain tumors. (© 2023 Published by Elsevier Inc. on behalf of American Society for Radiation Oncology.)
Databáze:	MEDLINE
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