Harel Ran, Zach Leor
Neurol Res. 2014 Jun;36(6):550-6. doi: 10.1179/1743132814Y.0000000364. Epub 2014 Apr 13.
Early diagnosis, better imaging, and advanced treatment of cancer patients extend survival and increase the incidence of symptomatic spine metastases. The treatment algorithm for spine metastases has shifted to a more aggressive approach in recent years. Spine stereotactic radiosurgery (SRS) is a relatively new tool utilizing advanced imaging systems, planning software, image-guided localization, and intensity-modulated dose delivery. Radiosurgery of spine metastases yields high rates of pain- and tumor control, and offers both the patients and the treating physicians an effective noninvasive alternative. This review presents the indications and outcomes for SRS and describes current techniques.
癌症患者的早期诊断、更好的影像学检查以及先进的治疗方法延长了生存期，并增加了有症状脊柱转移瘤的发生率。近年来，脊柱转移瘤的治疗方案已转向更积极的方法。脊柱立体定向放射外科手术（SRS）是一种相对较新的工具，它利用先进的成像系统、治疗计划软件、图像引导定位和调强剂量输送。脊柱转移瘤的放射外科手术能实现较高的疼痛和肿瘤控制率，并为患者和治疗医生提供了一种有效的非侵入性替代方案。本综述介绍了SRS的适应症和治疗结果，并描述了当前的技术。
