Authors: | Karam, I.; Yao, M.; Heron, D. E.; Poon, I.; Koyfman, S. A.; Yom, S. S.; Siddiqui, F.; Lartigau, E.; Cengiz, M.; Yamazaki, H.; Hara, W.; Phan, J.; Vargo, J. A.; Lee, V.; Foote, R. L.; Harter, K. W.; Lee, N. Y.; Sahgal, A.; Lo, S. S. |
Article Title: | Survey of current practices from the International Stereotactic Body Radiotherapy Consortium (ISBRTC) for head and neck cancers |
Abstract: | Aim: To provide a multi-institutional description of current practices of stereotactic body radiotherapy (SBRT) for head and neck cancer. Materials & methods: 15 international institutions with significant experience in head and neck SBRT were asked to complete a questionnaire covering clinical and technical factors. Results: SBRT is used 10-100% of the time for recurrent primary head and neck cancer, and 0-10% of the time in newly diagnosed disease. Five centers use a constraint for primary disease of 3-5 cm and 25-30 cc. Nine institutions apply a clinical target volume expansion of 1-10 mm and 14 use a planning target volume margin of 1-5 mm. Fractionation regimens vary between 15 and 22 Gy in 1 fraction to 30-50 Gy in 5 or 6 fractions. The risk of carotid blowout quoted in the re-irradiation setting ranges from 3 to 20%. Conclusion: There is considerable heterogeneity in patient selection and techniques in head and neck SBRT practice among experienced centers. © 2016 Future Medicine Ltd. |
Keywords: | head and neck cancer; sbrt; ablation; stereotactic; patterns of practice |
Journal Title: | Future Oncology |
Volume: | 13 |
Issue: | 7 |
ISSN: | 1479-6694 |
Publisher: | Future Medicine |
Date Published: | 2017-03-01 |
Start Page: | 603 |
End Page: | 613 |
Language: | English |
DOI: | 10.2217/fon-2016-0403 |
PROVIDER: | scopus |
PUBMED: | 27842456 |
DOI/URL: | |
Notes: | Article -- Export Date: 2 March 2017 -- Source: Scopus |