The Role of CT and MR Imaging in Stereotactic Body Radiotherapy of the Spine: From Patient Selection and Treatment Planning to Post-Treatment Monitoring.

IF 4.4 2区 医学 Q1 ONCOLOGY Cancers Pub Date : 2024-10-31 DOI:10.3390/cancers16213692
Javid Azadbakht, Amy Condos, David Haynor, Wende N Gibbs, Pejman Jabehdar Maralani, Arjun Sahgal, Samuel T Chao, Matthew C Foote, John Suh, Eric L Chang, Matthias Guckenberger, Mahmud Mossa-Basha, Simon S Lo
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Abstract

Spine metastases (SMs) are common, arising in 70% of the cases of the most prevalent malignancies in males (prostate cancer) and females (breast cancer). Stereotactic body radiotherapy, or SBRT, has been incorporated into clinical treatment algorithms over the past decade. SBRT has shown promising rates of local control for oligometastatic spinal lesions with low radiation dose to adjacent critical tissues, particularly the spinal cord. Imaging is critically important in SBRT planning, guidance, and response monitoring. This paper reviews the roles of imaging in spine SBRT, including conventional and advanced imaging approaches for SM detection, treatment planning, and post-SBRT follow-up.

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CT 和 MR 成像在脊柱立体定向体放射治疗中的作用:从患者选择、治疗计划到治疗后监测。
脊柱转移(SM)很常见,在男性最常见的恶性肿瘤(前列腺癌)和女性最常见的恶性肿瘤(乳腺癌)中,70%的病例都会发生脊柱转移。在过去十年中,立体定向体放射治疗(SBRT)已被纳入临床治疗方案。SBRT 对少转移性脊柱病变的局部控制率很高,对邻近重要组织(尤其是脊髓)的辐射剂量较低。影像学在 SBRT 的计划、引导和反应监测中至关重要。本文回顾了成像在脊柱 SBRT 中的作用,包括用于 SM 检测、治疗计划和 SBRT 后随访的传统和先进成像方法。
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来源期刊
Cancers
Cancers Medicine-Oncology
CiteScore
8.00
自引率
9.60%
发文量
5371
审稿时长
18.07 days
期刊介绍: Cancers (ISSN 2072-6694) is an international, peer-reviewed open access journal on oncology. It publishes reviews, regular research papers and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.
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