Stereotactic body radiotherapy: A critical review for nonradiation oncologists

John P. Kirkpatrick, Christopher R. Kelsey, Manisha Palta, Alvin R. Cabrera, Joseph K. Salama, Pretesh Patel, Bradford A. Perez, Jason Lee, Fang Fang Yin

Research output: Contribution to journalReview articlepeer-review

65 Scopus citations

Abstract

Stereotactic body radiotherapy (SBRT) involves the treatment of extracranial primary tumors or metastases with a few, high doses of ionizing radiation. In SBRT, tumor kill is maximized and dose to surrounding tissue is minimized, by precise and accurate delivery of multiple radiation beams to the target. This is particularly challenging, because extracranial lesions often move with respiration and are irregular in shape, requiring careful treatment planning and continual management of this motion and patient position during irradiation. This review presents the rationale, process workflow, and technology for the safe and effective administration of SBRT, as well as the indications, outcome, and limitations for this technique in the treatment of lung cancer, liver cancer, and metastatic disease.

Original languageEnglish
Pages (from-to)942-954
Number of pages13
JournalCancer
Volume120
Issue number7
DOIs
StatePublished - Apr 1 2014

Keywords

  • intensity-modulated radiotherapy
  • liver cancer
  • lung cancer
  • normal tissue complications
  • oligometastases
  • radiosurgery
  • spine metastases
  • stereotactic body radiotherapy

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