Stereotactic single-dose radiotherapy of lung metastases.

作者: Holger Hof , Angelika Hoess , Dieter Oetzel , Jürgen Debus , Klaus Herfarth

DOI: 10.1007/S00066-007-1724-Z

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摘要: Stereotactic treatment approaches lead to a significant reduction of irradiated volumes, which should make pulmonary targets more accessible radiotherapy. Between May 1997 and December 2005, 61 patients received stereotactic single-dose dose for 71 metastases. Doses the isocenter ranged from 12 30 Gy. Survival local tumor control rates were evaluated prospectively. After median follow-up period 14 months actuarial overall survival was 78.4%, 65.1%, 47.8% 12, 24, 36 after therapy, respectively. There significantly better (p = 0.023) not developing further metastases during follow-up. The progression-free rate 88.6%, 73.7%, 63.1% therapy. Although majority (70.4%) developed perifocal normal-tissue changes, these related clinically relevant toxicities. radiotherapy is feasible, safe effective option solitary in with contraindications surgery or palliation symptomatic

参考文章(17)
K. K. Herfarth, J. Debus, Stereotaktische Strahlentherapie von Lebermetastasen Chirurg. ,vol. 76, pp. 564- 569 ,(2005) , 10.1007/S00104-005-1039-5
Ginsberg Rj, Buyse M, Goldstraw P, Pass H, Girard P, Putnam Jb, Friedel G, Johnston M, Pastorino U, McCormack P, Toomes H, [Resection of lung metastases: long-term results and prognostic analysis based on 5206 cases--the International Registry of Lung Metastases]. Zentralblatt Fur Chirurgie. ,vol. 124, pp. 96- 103 ,(1999)
Holger Hof, Klaus K. Herfarth, Marc Münter, Marco Essig, Michael Wannenmacher, Jürgen Debus, The use of the multislice CT for the determination of respiratory lung tumor movement in stereotactic single-dose irradiation. Strahlentherapie Und Onkologie. ,vol. 179, pp. 542- 547 ,(2003) , 10.1007/S00066-003-1070-8
Frank Paulsen, Jutta Scheiderbauer, Susanne Martina Eschmann, Klaus Brechtel, Magnus Klein, Christina Pfannenberg, Andre Mondry, Thomas Hehr, Claus Belka, Michael Bamberg, First experiences of radiation treatment planning with PET/CT. Strahlentherapie Und Onkologie. ,vol. 182, pp. 369- 375 ,(2006) , 10.1007/S00066-006-1451-X
Anca-Ligia Grosu, Morand Piert, Wolfgang A. Weber, Branislav Jeremic, Maria Picchio, Ulrich Schratzenstaller, Frank B. Zimmermann, Markus Schwaiger, Michael Molls, Positron emission tomography for radiation treatment planning. Strahlentherapie Und Onkologie. ,vol. 181, pp. 483- 499 ,(2005) , 10.1007/S00066-005-1422-7
Antje Ernst-Stecken, Ulrike Lambrecht, Reinhold Mueller, Rolf Sauer, Gerhard Grabenbauer, Hypofractionated Stereotactic Radiotherapy for Primary and Secondary Intrapulmonary Tumors: First Results of a Phase I/II Study Strahlentherapie Und Onkologie. ,vol. 182, pp. 696- 702 ,(2006) , 10.1007/S00066-006-1577-X
Judit Boda-Heggemann, Cornelia Walter, Sabine Mai, Barbara Dobler, Dietmar Dinter, Frederik Wenz, Frank Lohr, Frameless stereotactic radiosurgery of a solitary liver metastasis using active breathing control and stereotactic ultrasound. Strahlentherapie Und Onkologie. ,vol. 182, pp. 216- 221 ,(2006) , 10.1007/S00066-006-1453-8
K.K Herfarth, J Debus, F Lohr, M.L Bahner, P Fritz, A Höss, W Schlegel, M.F Wannenmacher, Extracranial stereotactic radiation therapy: set-up accuracy of patients treated for liver metastases. International Journal of Radiation Oncology Biology Physics. ,vol. 46, pp. 329- 335 ,(2000) , 10.1016/S0360-3016(99)00413-7
Keiichi Nakagawa, Yukimasa Aoki, Masao Tago, Atsuro Terahara, Kuni Ohtomo, Megavoltage CT-assisted stereotactic radiosurgery for thoracic tumors: original research in the treatment of thoracic neoplasms. International Journal of Radiation Oncology Biology Physics. ,vol. 48, pp. 449- 457 ,(2000) , 10.1016/S0360-3016(00)00617-9
Paul Okunieff, Anncatrine L. Petersen, Abraham Philip, Michael T. Milano, Alan W. Katz, Laszlo Boros, Michael C. Schell, Stereotactic Body Radiation Therapy (SBRT) for lung metastases. Acta Oncologica. ,vol. 45, pp. 808- 817 ,(2006) , 10.1080/02841860600908954