SBRT planning for liver metastases: A focus on immobilization, motion management and planning imaging techniques

Rep Pract Oncol Radiother. 2017 Mar-Apr;22(2):103-110. doi: 10.1016/j.rpor.2017.02.006. Epub 2017 Apr 6.

Abstract

Aim: To evaluate the different techniques used for liver metastases Stereotactic Body Radiation Therapy (SBRT) planning. We especially focused on immobilization devices, motion management and imaging used for contouring.

Background: Although some guidelines exist, there is no consensus regarding the minimal requirements for liver SBRT treatments.

Materials and methods: We reviewed the main liver metastases SBRT publications and guidelines; and compared the techniques used for immobilization, motion management, margins and imaging.

Results: There is a wide variety of techniques used for immobilization, motion management and planning imaging.

Conclusions: We provide a subjective critical analysis of minimal requirements and ideal technique for liver SBRT planning.

Keywords: Contouring; Immobilization; Liver metastases; Motion management; Planning; SBRT.