Shaped Beam Radiosurgery: State of the Art PDF
Preview Shaped Beam Radiosurgery: State of the Art
Shaped Beam Radiosurgery Antonio A.F. De Salles (Editor-in-Chief ) Alessandra A. Gorgulho • Nzhde Agazaryan Ben Slotman • Michael Selch (Co-Editors) Aaron J. Burwick • Raymond A. Schulz (Managing Editors) Shaped Beam Radiosurgery State of the Art Editor-in-Chief Antonio A.F. De Salles Department of Neurosurgery David Geffen School of Medicine at UCLA 10495 Le Conte Ave., Suite 2120 Los Angeles, CA 90095 USA Foreword In previous decades the notion of multidisciplinary care was embraced to bring increasingly complex treatment modalities safely and expeditiously to patients. Stereotactic radiosurgery is exemplary of such a mutual effort. In this regard, the paradigm of bringing together the neurosurgeon, radiation oncologist, diagnostic radiologist, and medical physicist into collaboration served the development of the medical science and our patients well. We now enter an era of an enhanced and more sophisticated understanding of anatomy, molecular biology, radiation biology, genetics, and imaging science as it relates to stereotactic based radiation treatments. The technology we use has contin- ued to improve in its fexibility, accuracy and precision giving us the ability to maxi- mize therapeutic beneft while minimizing morbidity. This progress, however, comes with concomitant increase in complexity of structure and process. Stereotactic radiation techniques such as stereotactic radiosurgery (SRS) and ste- reotactic body radiation therapy (SBRT) serve as a paradigm for breaking down the silos of traditional department-based medical disciplines by setting up integrated practice units for the beneft of the patient. We come together out of necessity to address the complexity of the processes. Barriers to this integration remain, but will continue to be addressed and overcome. The techniques developed by the collabora- tion now allow for the lessons learned from SRS in the brain to be applied to the spine, pancreas, prostate, kidney, and with motion management, to the lung and liver. The application of SRS and SBRT now abound in curative as well as palliative settings – and with new notions of the treatment of oligometastasis, it shows promise to convert heretofore incurable cancer into a chronic disease. Even more exciting, the frontiers of research afford the possibility of using radiation in the SRS/SBRT context to manipulate signaling pathways of cancer cell growth and immune response (Danger Theory) for the beneft of the patient. Radiation biologists are developing a new understanding of the nuances of the radiation interaction with cancer- ous and normal tissues to achieve genetic changes that can be translated to enhance apoptosis, expedite healing, prevent excessive repair reaction of normal tissue, and even stimulate the production of neurotransmitters in cases of neurodegenerative diseases. The chapters ahead review the progress made and set out possibilities for the future. The future of this complex discipline, stereotactic radiation, is indeed bright. Los Angeles, CA, USA Michael L. Steinberg v Contents Part I Basic Principles 1 Evolution of Stereotactic Radiosurgery . . . . . . . . . . . . . . . . . . . . . . . . . 3 Antonio A.F. De Salles 2 Delivery Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Ben Slotman 3 Image-Guidance in Shaped Beam Radiosurgery and SBRT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Steve Tenn and Nzhde Agazaryan 4 Frame-Based and Frameless Accuracy of Novalis® Radiosurgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Javad Rahimian, Joseph C.T. Chen, Michael R. Girvigian, Michael J. Miller, and Rombod Rahimian 5 Monte Carlo Treatment Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Matthias Fippel 6 Fractionation in Radiobiology: Classical Concepts and Recent Developments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Steve P. Lee Part II Cranial Radiosurgery 7 Radiosurgery for Arteriovenous Malformations . . . . . . . . . . . . . . . . . 77 Antonio A.F. De Salles and Alessandra A. Gorgulho 8 Radiosurgical Management of Meningiomas . . . . . . . . . . . . . . . . . . . . 89 Alessandra A. Gorgulho, Jason S. Hauptman, and Antonio A.F. De Salles 9 Acoustic Neuromas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 Yves Lazorthes, Jean Sabatier, Jean-Albert Lotterie, F. Loubes, Pierre-Yves Borius, Emmanuelle Cassol, P. Duthill, Isabelle Berry, and Igor Latorzeff vii viii Contents 10 Pituitary Adenomas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Winston W. Lien and Joseph C. Chen 11 Craniopharyngiomas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Michael Selch 12 Management of Brain Metastases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 Naren Ramakrishna 13 Recurrent Malignant Gliomas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149 Changhu Chen 14 Hypofractionated Shaped Beam Radiosurgery for Cranial and Spinal Chordomas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 Moon-Jun Sohn, Dong-Joon Lee, and C. Jin Whang 15 Unusual Skull Based Tumors Addressed with Single Dose or Fractionated Shaped Beam Stereotactic Radiation . . . . . . . . . . . . . 171 Edward Melian, John Leonetti, Douglas Anderson, Vikram Prabhu, and Anil Sethi 16 Skull-Base Malignant Tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181 Yoshimasa Mori Part III Functional Radiosurgery 17 Radiosurgery for Trigeminal Neuralgia: Indications, Results and Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195 Alessandra A. Gorgulho 18 Stereotactic Radiosurgery for Movement Disorders . . . . . . . . . . . . . . 209 Leonardo Frighetto, Jorge Bizzi, and Paulo Oppitz 19 Stereotactic Radiosurgery for Epilepsy . . . . . . . . . . . . . . . . . . . . . . . . . 219 Miguel Angel Celis, Olivia Amanda García Garduño, and Sergio Moreno-Jiménez 20 Spine Radiosurgery: Pain and Quality of Life Outcomes . . . . . . . . . . 229 Lilyana Angelov Part IV Spinal and Other Extra-Cranial Applications 21 Spinal Cord Tolerance to Radiosurgery . . . . . . . . . . . . . . . . . . . . . . . . 239 Andrew Knight 22 Radiosurgery of the Malignant Spine Tumors . . . . . . . . . . . . . . . . . . . 247 Samuel Ryu and Jack Rock Contents ix 23 Benign Spinal Tumors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255 Michael Selch 24 Stereotactic Body Radiotherapy for the Lung . . . . . . . . . . . . . . . . . . . 267 Yukinori Matsuo, Keiko Shibuya, Masaru Narabayashi, and Masahiro Hiraoka 25 Stereotactic Body Radiation Therapy for Tumors of the Pancreas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279 Percy Lee and Brian Yeh 26 Prostate SBRT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 287 Guy Soete 27 Stereotactic Body Radiation Therapy (SBRT) for Tumors of the Liver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299 Percy Lee and Ronald W. Busuttil 28 The Future of Radiosurgery and Radiotherapy . . . . . . . . . . . . . . . . . . 305 Antonio A.F. De Salles, Mark Sedrak, and Jean Jacques Lemaire Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311
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