SBRT for bone mets – pro
Stereotactic body radiation therapy (SBRT) is a technique that utilizes precisely targeted radiation to a tumor while minimizing radiation to adjacent normal tissue. This targeting allows treatment of small- or moderate-sized tumors in either a single or limited number of dose fractions.Stereotactic radiosurgery (SRS) and stereotactic radiotherapy (SRT) initially was used successfully for intracranial, orbital, and base of skull tumors, as well as benign conditions that can use the skull as a reference system. The success of SRS for intracranial indications led to the development of techniques to extend this approach to extracranial targets, such as lung cancer. Stereotactic radiation therapy for extracranial sites is aided by technical advances including tumor imaging to guide radiation administration, patient immobilization, and conformal radiation delivery techniques.
The Task Force concluded that external beam radiotherapy (EBRT) continues to be the
mainstay for the treatment of pain and/or prevention of morbidity caused by bone metastases. The use of
stereotactic body radiotherapy was seen to hold theoretical promise in the treatment of new or
recurrent spine lesions, though the Task Force recommended that its use be limited to selected
patients preferably treated on a prospective trial.
https://www.astro.org/Patient-Care-and-Research/Clinical-Practice-Statements/ASTRO-39;s-guideline-on-Palliative-Radiation-T-(1), 2017
Katie L Spencer, Joanne M van der Velden, Erin Wong, Enrica Seravalli, Arjun Sahgal, Edward Chow, Jorrit-Jan Verlaan, Helena M Verkooijen, Yvette M van der Linden, Systematic Review of the Role of Stereotactic Radiotherapy for Bone Metastases, JNCI: Journal of the National Cancer Institute, Volume 111, Issue 10, October 2019, Pages 10231032, https://doi.org/10.1093/jnci/djz101
Stereotactic Body Radiation Therapy (SBRT) in Pelvic Lymph
Node Oligometastases
L.B. Reshkohttps://www.redjournal.org/article/S0360-3016(19)32071-1/pdf