A Cancer Care Ontario Organizational Guideline for the Delivery of Stereotactic Radiosurgery for Brain Metastasis in Ontario, Canada

Publication date: Available online 26 November 2019Source: Practical Radiation OncologyAuthor(s): A. Sahgal, S. Kellett, M. Ruschin, J. Greenspoon, M. Follwell, J. Sinclair, O. Islam, J. Perry, the Stereotactic Radiosurgery for Brain Metastasis Guideline Development GroupAbstractIn Ontario, Canada there is increasing demand for Stereotactic Radiosurgery (SRS) for brain metastases. Recommendations for safe SRS delivery are needed to ensure that patients receive an equitable level of care across the province. This Guideline presents the minimal recommendations for the organization and delivery of SRS with respect to the multidisciplinary team, applicable technologies, imaging requirements, quality assurance (QA) program and patient follow-up.The recommendations are based on the consensus opinion of the Cancer Care Ontario SRS for Brain Metastasis Guideline Development Group, and clinical evidence when available. Primary consideration was given to the perceived benefits for patients and the small likelihood of harm arising from recommendation implementation. With the exception of the MRI follow-up strategy, all evidence was considered indirect, and was provided by the Working Group in conjunction with their collective expertise in the field of SRS.The application of SRS requires a multidisciplinary team consisting of a radiation oncologist, neurosurgeon, neuroradiologist, medical physicist, radiation therapist and/or medical dosimitrist. Volumetric imaging scanning parameters mu...
Source: Practical Radiation Oncology - Category: Cancer & Oncology Source Type: research