[Delineation of the surgical bed of operated brain metastases treated with adjuvant stereotactic irradiation: A review]

Cancer Radiother. 2017 Dec;21(8):804-813. doi: 10.1016/j.canrad.2017.04.014. Epub 2017 Nov 21.
[Article in French]

Abstract

Stereotactic radiotherapy of the surgical bed of brain metastases is a technique that comes supplant indications of adjuvant whole brain radiotherapy after surgery. After a growing number of retrospective studies, a phase III trial has been presented and validated this indication. However, several criteria such as the dose, the fractionation, the use of a margin and definition of volumes remain to be defined. Our study consisted in making a literature review in order to provide a guideline of delineation of surgical beds of brain metastases, as well as the different modalities of their implementation process.

Keywords: Brain metastases; Delineation; Délinéation; Lit opératoire; Métastases cérébrales; Stereotactic radiotherapy; Stéréotaxie; Surgical bed.

Publication types

  • Review

MeSH terms

  • Brain Neoplasms / pathology
  • Brain Neoplasms / radiotherapy*
  • Brain Neoplasms / secondary*
  • Dose Fractionation, Radiation
  • Humans
  • Practice Guidelines as Topic
  • Radiosurgery*
  • Radiotherapy, Adjuvant
  • Radiotherapy, Image-Guided*