DÄ internationalArchive19/2009Radiosurgery for Spinal Malignant Tumors: Expertise Is Crucial

Correspondence

Radiosurgery for Spinal Malignant Tumors: Expertise Is Crucial

Dtsch Arztebl Int 2009; 106(19): 340; DOI: 10.3238/arztebl.2009.0340a

Fehlauer, F

LNSLNS On the basis of the non-judgmental review article by Sahgal et al (1), Wowra et al report a therapeutic approach that is pointing the way, as well as their own experiences with a truly fascinating technology, which can undoubtedly be performed with equal precision, safety, dosage distributions, and control rates in state-of-the-art radiotherapeutic institutions with a linear accelerator by using complementary functionalities (www.elekta.com/oncology/IGRT, www.varian.com/ us/oncology/radiosurgery). Comprehensive service provision is thus guaranteed, to the benefit of all those affected. However, the technology will remain a tool; the crucial factor will always be expertise.

Spinal radiosurgery is also an excellent example for the evolutionary development of radiotherapy in the past 10 years. It combines all modern forms of application, calculation algorithms, and dosage concepts; however, simultaneously, many questions arise that require answers (quality assurance, normal tissue tolerance doses, etc). The topic of extracranial radiosurgery remains an exciting subcategory within interdisciplinary radio-oncology.

For our patients, the following is important: over the next few years, oncologists of all specialties will not be able to escape or avoid many radiotherapeutic terms and phrases (and their basic principles), such as SBRS ("stereotactic body radiosurgery"), hypofractionated IGRT ("image guided radiotherapy"), IMRT ("intensity modulated radiotherapy"), and IMAT ("intensity modulated arc therapy", dynamic IMRT).
DOI: 10.3238/arztebl.2009.0340a


PD Dr. med. Fabian Fehlauer
Strahlenzentrum Hamburg MVZ
Langenhorner Chaussee 369
22419 Hamburg, Germany
fehlauer@szhn.de
1.
Sagal A et al.: Stereotactic body radiosurgery for spinal mets: a critical review. I J R O B P 2008; 71: 652–65.
2.
Wowra B, Zausinger S, Muacevic A, Tonn JC: Radiosurgery for spinal malignant tumors [Spinale Radiochirurgie von malignen Wirbelsäulentumoren]. Dtsch Arztebl Int 2009; 106(7): 106–12. VOLLTEXT
1. Sagal A et al.: Stereotactic body radiosurgery for spinal mets: a critical review. I J R O B P 2008; 71: 652–65.
2. Wowra B, Zausinger S, Muacevic A, Tonn JC: Radiosurgery for spinal malignant tumors [Spinale Radiochirurgie von malignen Wirbelsäulentumoren]. Dtsch Arztebl Int 2009; 106(7): 106–12. VOLLTEXT