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Definition of stereotactic body radiotherapy

2013; Springer Science+Business Media; Volume: 190; Issue: 1 Linguagem: Inglês

10.1007/s00066-013-0450-y

1439-099X

Matthias Gückenberger, Nicolaus Andratschke, H. Alheit, Richard Holý, Christos Moustakis, Ursula Nestle, Otto A. Sauer,

Lung Cancer Diagnosis and Treatment

Abstract This report from the Stereotactic Radiotherapy Working Group of the German Society of Radiation Oncology (Deutschen Gesellschaft für Radioonkologie, DEGRO) provides a definition of stereotactic body radiotherapy (SBRT) that agrees with that of other international societies. SBRT is defined as a method of external beam radiotherapy (EBRT) that accurately delivers a high irradiation dose to an extracranial target in one or few treatment fractions. Detailed recommendations concerning the principles and practice of SBRT for early stage non-small cell lung cancer (NSCLC) are given. These cover the entire treatment process; from patient selection, staging, treatment planning and delivery to follow-up. SBRT was identified as the method of choice when compared to best supportive care (BSC), conventionally fractionated radiotherapy and radiofrequency ablation. Based on current evidence, SBRT appears to be on a par with sublobar resection and is an effective treatment option in operable patients who refuse lobectomy.