The utility of positron emission tomography/computed tomography in target delineation for stereotactic body radiotherapy for liver metastasis from primary gastric cancer: an illustrative case report and literature review

The liver is a common site for metastatic disease for many cancers. Radiation therapy is one means of treatment for liver metastases, especially for patients unable to undergo surgery or ineligible for systemic chemotherapy. In particular, stereotactic body radiotherapy (SBRT) has become an importan...

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Bibliographic Details
Published inJournal of gastrointestinal oncology Vol. 8; no. 3; pp. E39 - E42
Main Authors Lewis, Gary D, Chiang, Stephen B, Butler, E Brian, Teh, Bin S
Format Journal Article
LanguageEnglish
Published China AME Publishing Company 01.06.2017
Subjects
Case Report
Stereotactic body radiotherapy (SBRT)
liver metastasis
image-guided radiotherapy (IGRT)
gastric cancer
PET scan
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Summary:The liver is a common site for metastatic disease for many cancers. Radiation therapy is one means of treatment for liver metastases, especially for patients unable to undergo surgery or ineligible for systemic chemotherapy. In particular, stereotactic body radiotherapy (SBRT) has become an important option in the treatment of metastatic disease in the liver. SBRT delivers ablative doses of radiation in relatively few fractions. As such, precise and clear imaging plays an important role in maximizing disease control while minimizing normal tissue toxicity. We present a case that highlights the importance of using multiple imaging modalities for target volume delineation in stereotactic radiation treatment of liver metastases.
ISSN:2078-6891
2219-679X
DOI:10.21037/jgo.2017.01.18