Kristin J Redmond1, Simon S Lo2, Roi Dagan3, Ian Poon4, Matthew C Foote5, Darby Erler4, Young Lee4, Frank Lohr6, Tithi Biswas7, Umberto Ricardi8, Arjun Sahgal4. 1. Johns Hopkins University, Baltimore, MD, USA. 2. University of Washington School of Medicine, Seattle, WA, USA. 3. University of Florida, Jacksonville, FL, USA. 4. Odette Cancer Centre-Sunnybrook Health Sciences, Toronto, Ontario, Canada. 5. University of Queensland, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia. 6. Azienda Az. Ospedaliero-Universitaria di Modena, Dipartimento di Oncologia, Unita Operativa di Radioterapia, Modena, Italy. 7. University Hospitals Seidman Cancer Center, Cleveland, OH, USA. 8. Department of Oncology, University of Turin, Turin, Italy.
Abstract
AIM: Oligometastatic cancer is being increasingly managed with aggressive local therapy using stereotactic body radiation therapy (SBRT). However, few guidelines exist. We summarize the results of an international survey reviewing technical factors for extracranial SBRT for oligometastatic disease to guide safe management. MATERIALS & METHODS: Seven high-volume centers contributed. Levels of agreement were categorized as strong (6-7 common responses), moderate (4-5), low (2-3) or no agreement. RESULTS & CONCLUSION: We present the results of a multi-national and multi-institutional survey of technical factors of SBRT for extracranial oligometastases. Key methods including target delineation, prescription doses, normal tissue constraints, imaging and set-up for safe implementation and practice of SBRT for oligometastasis have been identified. This manuscript will serve as a foundation for future clinical evaluations.
AIM: Oligometastatic cancer is being increasingly managed with aggressive local therapy using stereotactic body radiation therapy (SBRT). However, few guidelines exist. We summarize the results of an international survey reviewing technical factors for extracranial SBRT for oligometastatic disease to guide safe management. MATERIALS & METHODS: Seven high-volume centers contributed. Levels of agreement were categorized as strong (6-7 common responses), moderate (4-5), low (2-3) or no agreement. RESULTS & CONCLUSION: We present the results of a multi-national and multi-institutional survey of technical factors of SBRT for extracranial oligometastases. Key methods including target delineation, prescription doses, normal tissue constraints, imaging and set-up for safe implementation and practice of SBRT for oligometastasis have been identified. This manuscript will serve as a foundation for future clinical evaluations.
Entities:
Keywords:
SBRT; oligometastatic cancer; stereotactic body radiation therapy; technical factors
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