Liver stereotactic body radiotherapy: Clinical features and technical consequences, results. Which treatment machine in which situation?

Liver stereotactic body radiotherapy is a developing technique for the treatment of primary tumours and metastases. Its implementation is complex because of the particularities of the treated organ and the comorbidities of the patients. However, this technique is a treatment opportunity for patients...

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Published inCancer radiothérapie
Main Authors Riou, O, Valdenaire, S, Debuire, P, Fenoglietto, P, Debrigode, C, Mazard, T, Assenat, É, Aillères, N, Azria, D
Format Journal Article
LanguageFrench
Published France 01.10.2019
Subjects
Radiothérapie stéréotaxique
Liver metastases
Stereotactic body radiotherapy
Foie
Liver
Hepatocellular carcinoma
Machine dédiées
Radiosurgery units
Respiratory movement
Linear accelerator
Image guidance
Machine non dédiées
Carcinome hépatocellulaire
Guidage par l’image
Métastases hépatiques
Mouvement respiratoire
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Summary:Liver stereotactic body radiotherapy is a developing technique for the treatment of primary tumours and metastases. Its implementation is complex because of the particularities of the treated organ and the comorbidities of the patients. However, this technique is a treatment opportunity for patients otherwise in therapeutic impasse. The scientific evidence of liver stereotactic body radiotherapy has been considered by the French health authority as insufficient for its widespread use outside specialized and experienced centers, despite a growing and important number of retrospective and prospective studies, but few comparative data. This article focuses on the specific features of stereotactic body radiotherapy for liver treatments and the results of published studies of liver stereotactic body radiotherapy performed with classic linear accelerators and dedicated radiosurgery units.
ISSN:1769-6658
DOI:10.1016/j.canrad.2019.07.159