[Liver stereotactic body radiotherapy: Clinical features and technical consequences, results. Which treatment machine in which situation?]

Cancer Radiother. 2019 Oct;23(6-7):636-650. doi: 10.1016/j.canrad.2019.07.159. Epub 2019 Aug 20.
[Article in French]

Abstract

Liver stereotactic body radiotherapy is a developing technique for the treatment of primary tumours and metastases. Its implementation is complex because of the particularities of the treated organ and the comorbidities of the patients. However, this technique is a treatment opportunity for patients otherwise in therapeutic impasse. The scientific evidence of liver stereotactic body radiotherapy has been considered by the French health authority as insufficient for its widespread use outside specialized and experienced centers, despite a growing and important number of retrospective and prospective studies, but few comparative data. This article focuses on the specific features of stereotactic body radiotherapy for liver treatments and the results of published studies of liver stereotactic body radiotherapy performed with classic linear accelerators and dedicated radiosurgery units.

Keywords: Carcinome hépatocellulaire; Foie; Guidage par l’image; Hepatocellular carcinoma; Image guidance; Linear accelerator; Liver; Liver metastases; Machine dédiées; Machine non dédiées; Mouvement respiratoire; Métastases hépatiques; Radiosurgery units; Radiothérapie stéréotaxique; Respiratory movement; Stereotactic body radiotherapy.

Publication types

  • Review

MeSH terms

  • Carcinoma, Hepatocellular / diagnostic imaging
  • Carcinoma, Hepatocellular / radiotherapy*
  • Humans
  • Liver / radiation effects
  • Liver Cirrhosis / complications
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / radiotherapy*
  • Liver Neoplasms / secondary
  • Organ Motion
  • Particle Accelerators
  • Practice Guidelines as Topic
  • Radiation Tolerance
  • Radiosurgery / instrumentation*
  • Radiosurgery / methods
  • Radiotherapy Dosage
  • Radiotherapy Planning, Computer-Assisted / methods
  • Radiotherapy, Image-Guided / methods
  • Respiration
  • Treatment Outcome