Radiotherapy of non-tumoral refractory neurological pathologies

Autor: J.-M. Simon, Jean-Jacques Mazeron, J. Jacob, N. Reyns, C. Jenny, Marguerite Cuttat, Loïc Feuvret, C.-A. Valéry, Philippe Maingon, David Pasquier
Přispěvatelé: Service d'Oncologie Radiothérapie [CHU Pitié Salpétrière], CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Thérapies Laser Assistées par l'Image pour l'Oncologie - U 1189 (ONCO-THAI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Service de Neuroradiologie [CHU Pitié-Salpêtrière], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), STMicroelectronics [Crolles] (ST-CROLLES), Service de Médecine Physique et de Réadaptation [CHU Pitié-Salpêtrière] (MPR), Centre Régional de Lutte contre le Cancer Oscar Lambret [Lille] (UNICANCER/Lille), Université Lille Nord de France (COMUE)-UNICANCER, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Université de Lille-UNICANCER, Service de Radiothérapie [CHU Pitié-Salpêtrière], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Service de médecine physique et de réadaptation [CHU Pitié-Salpêtrière]
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Cancer Radiothérapie
Cancer Radiothérapie, Elsevier Masson, 2020, 24 (6-7), pp.523-533. ⟨10.1016/j.canrad.2020.06.012⟩
Cancer/Radiothérapie
Cancer/Radiothérapie, 2020, 24 (6-7), pp.523-533. ⟨10.1016/j.canrad.2020.06.012⟩
ISSN: 1278-3218
1769-6658
DOI: 10.1016/j.canrad.2020.06.012⟩
Popis: International audience; Intracranial radiotherapy has been improved, primarily because of the development of stereotactic approaches. While intracranial stereotactic body radiotherapy is mainly indicated for treatment of benign or malignant tumors, this procedure is also effective in the management of other neurological pathologies; it is delivered using GammaKnife ® and linear accelerators. Thus, brain arteriovenous malformations in patients who are likely to experience permanent neurological sequelae can be managed by single session intracranial stereotactic body radiotherapy, or radiosurgery, in specific situations, with an advantageous benefit/risk ratio. Radiosurgery can be recommended for patients with disabling symptoms, which are poorly controlled by medication, such as trigeminal neuralgia, and tremors, whether they are essential or secondary to Parkinson's disease. This literature review aims at defining the place of intracranial stereotactic body radiotherapy in the management of patients suffering from non-tumoral refractory neurological pathologies. It is clear that the multidisciplinary collaboration of experienced teams from Neurosurgery, Neurology, Neuroradiology, Radiation Oncology and Medical Physics is needed for the procedures using high precision radiotherapy techniques which deliver high doses to locations near functional brain areas.
Databáze: OpenAIRE