Step-by-Step Stereotactic Radiotherapy Planning of Brain Metastasis: A Guide to Radiation Oncologists—the ROSE Case (Radiation Oncology from Simulation to Execution)

Author:

Patro Kanhu Charan1,Avinash Ajitesh2,Pradhan Arya3,Boya Rakesh Reddy4,Kundu Chittaranjan1,Bhattacharyya Partha Sarathi1,Pilaka Venkata Krishna Reddy1,Muvvala Mrutyunjayarao1,Prabu Arunachalam Chithambara5,Kumar Ayyalasomayajula Anil5,Aketi Srinu5,Prasad Parasa5,Priyasha Venkata Naga1,Avidi Veera Surya Premchand Kumar1,Atchaiyalingam Mohanapriya1,Karthikeyan Keerthiga1

Affiliation:

1. Department of Radiation Oncology, Mahatma Gandhi Cancer Hospital and research Institute, Visakhapatnam, Andhra Pradesh, India

2. Department of Radiation Oncology, SUM Ultimate Medicare, Bhubaneswar, Odisha, India

3. Department of Medical Oncology, Gujarat Cancer and Research Institute, Ahmedabad, Gujarat, India

4. Department of Medical Oncology, Mahatma Gandhi Cancer Hospital and Research Institute, Vishakhapatnam, Andhra Pradesh, India

5. Department of Medical Physics, Mahatma Gandhi Cancer Hospital and Research Institute, Vishakhapatnam, Andhra Pradesh, India

Abstract

Brain metastasis is seen in 10% to 20% of all adult cancer patients. One of the main modalities of treatment is stereotactic radiosurgery (SRS). Here, we describe the step by step procedure for stereotactic planning of brain metastasis by using a clinical scenario. The management of brain metastasis starts with the clinical evaluation of the patient followed by imaging and SRS treatment in the present case. The paper highlights the sequential process of radiation planning for SRS—starting from simulation, planning, evaluation of plan, and treatment.

Publisher

SAGE Publications

Subject

General Earth and Planetary Sciences,General Environmental Science

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