Survey of current practices from the International Stereotactic Body Radiotherapy Consortium (ISBRTC) for head and neck cancers

Irene Karam, Min Yao, Dwight E. Heron, Ian Poon, Shlomo A. Koyfman, Sue S. Yom, Farzan Siddiqui, Eric Lartigau, Mustafa Cengiz, Hideya Yamazaki, Wendy Hara, Jack Phan, John A. Vargo, Victor Lee, Robert L. Foote, K. William Harter, Nancy Y. Lee, Arjun Sahgal, Simon S. Lo

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Aim: To provide a multi-institutional description of current practices of stereotactic body radiotherapy (SBRT) for head and neck cancer. Materials & methods: 15 international institutions with significant experience in head and neck SBRT were asked to complete a questionnaire covering clinical and technical factors. Results: SBRT is used 10-100% of the time for recurrent primary head and neck cancer, and 0-10% of the time in newly diagnosed disease. Five centers use a constraint for primary disease of 3-5 cm and 25-30 cc. Nine institutions apply a clinical target volume expansion of 1-10 mm and 14 use a planning target volume margin of 1-5 mm. Fractionation regimens vary between 15 and 22 Gy in 1 fraction to 30-50 Gy in 5 or 6 fractions. The risk of carotid blowout quoted in the re-irradiation setting ranges from 3 to 20%. Conclusion: There is considerable heterogeneity in patient selection and techniques in head and neck SBRT practice among experienced centers.

Original languageEnglish (US)
Pages (from-to)603-613
Number of pages11
JournalFuture Oncology
Volume13
Issue number7
DOIs
StatePublished - Mar 1 2017

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Keywords

  • ablation
  • head and neck cancer
  • patterns of practice
  • SBRT
  • stereotactic

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Karam, I., Yao, M., Heron, D. E., Poon, I., Koyfman, S. A., Yom, S. S., Siddiqui, F., Lartigau, E., Cengiz, M., Yamazaki, H., Hara, W., Phan, J., Vargo, J. A., Lee, V., Foote, R. L., Harter, K. W., Lee, N. Y., Sahgal, A., & Lo, S. S. (2017). Survey of current practices from the International Stereotactic Body Radiotherapy Consortium (ISBRTC) for head and neck cancers. Future Oncology, 13(7), 603-613. https://doi.org/10.2217/fon-2016-0403