Franco Pierfrancesco, De Bari Berardino, Ciammella Patrizia, Fiorentino Alba, Chiesa Silvia, Amelio Dante, Pinzi Valentina, Bonomo Pierluigi, Vagge Stefano, Fiore Michele, Comito Tiziana, Cecconi Agnese, Mortellaro Gianluca, Bruni Alessio, Trovò Marco, Filippi Andrea Riccardo, Greto Daniela, Alongi Filippo
Tumori. 2014 Nov-Dec;100(6):e214-9. doi: 10.1700/1778.19280.
Stereotactic ablative radiotherapy is a modern cancer treatment strategy able to deliver highly focused radiation in one or a few fractions with a radical intent in several clinical settings. Young radiation oncologists need a constant and tailored update in this context to improve patient care in daily clinical practice. A recent meeting of AIRO Giovani (AIRO--Young Members Working Group) was specifically addressed to this topic, presenting state-of-the-art knowledge, based on the latest evidence in this field. Highlights of the congress are summarized and presented in this report, including thorough contributions of the speakers dealing with the role of stereotactic ablative radiotherapy in both oncological and non-oncological diseases, divided according to anatomical and clinical scenarios: intra-cranial settings (brain malignant primary tumors, metastases, benign tumors and functional disorders) and extra-cranial indications (lung primary tumors and metastases, thoracic re-irradiation, liver, lymph node and bone metastases, prostate cancer). With literature data discussed during the congress as a background, stereotactic ablative radiotherapy has proved to be a consolidated treatment approach in specific oncological and non-oncological scenarios, as well as a promising option in other clinical settings, requiring a further prospective validation in the near future. We herein present an updated overview of stereotactic ablative radiotherapy use in the clinic.
立体定向消融放疗是一种现代癌症治疗策略,能够在一次或几次分割中给予高度聚焦的放射治疗,在多种临床情况下具有根治意图。年轻的放射肿瘤学家在这种背景下需要持续且量身定制的更新,以在日常临床实践中改善患者护理。最近召开的AIRO Giovani(AIRO——青年成员工作组)会议专门讨论了这一主题,基于该领域的最新证据介绍了最新知识。本报告总结并呈现了大会的要点,包括演讲者就立体定向消融放疗在肿瘤和非肿瘤疾病中的作用所做的全面贡献,这些贡献根据解剖和临床情况进行了划分:颅内情况(脑恶性原发性肿瘤、转移瘤、良性肿瘤和功能障碍)和颅外适应症(肺原发性肿瘤和转移瘤、胸部再照射、肝脏、淋巴结和骨转移瘤、前列腺癌)。以大会期间讨论的文献数据为背景,立体定向消融放疗已被证明在特定的肿瘤和非肿瘤情况下是一种成熟的治疗方法,在其他临床环境中也是一种有前景的选择,在不久的将来需要进一步的前瞻性验证。我们在此提供了立体定向消融放疗在临床应用的最新概述。