Stereotactic body radiotherapy for liver tumors |
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Authors: | PD Dr Florian Sterzing Thomas B Brunner Iris Ernst Wolfgang W Baus Burkhard Greve Klaus Herfarth Matthias Guckenberger |
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Institution: | 1. Klinische Kooperationseinheit Strahlentherapie, Deutsches Krebsforschungszentrum (dkfz), INF 280, 69120, Heidelberg, Germany 2. Abteilung für Radioonkologie und Strahlentherapie, Radiologische Universit?tsklinik, Heidelberg, Germany 3. Klinik für Strahlenheilkunde, Radiologische Klinik, Universit?tsklinikum Freiburg, Freiburg, Germany 4. Klinik für Strahlentherapie – Radioonkologie, Universit?tsklinikum Münster, Münster, Germany 5. Klinik und Poliklinik für Strahlentherapie, Universit?tsklinikum K?ln, K?ln, Germany 6. Klinik für Radio-Onkologie, Universit?tsSpital Zürich, Zürich, Switzerland
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Abstract: | Purpose This report of the Working Group on Stereotactic Radiotherapy of the German Society of Radiation Oncology (DEGRO) aims to provide a practical guideline for safe and effective stereotactic body radiotherapy (SBRT) of liver tumors. Methods The literature on the clinical evidence of SBRT for both primary liver tumors and liver metastases was reviewed and analyzed focusing on both physical requirements and special biological characteristics. Results Recommendations were developed for patient selection, imaging, planning, treatment delivery, motion management, dose reporting, and follow-up. Radiation dose constraints to critical organs at risk are provided. Conclusion SBRT is a well-established treatment option for primary and secondary liver tumors associated with low morbidity. |
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