Article

Overview of Stereotactic Body Radiotherapy and the Nursing Role

Karen A. Smink

Susan M. Schneider

radiation therapy, stereotactic techniques
CJON 2008, 12(6), 889-893. DOI: 10.1188/08.CJON.889-893

Stereotactic body radiotherapy (SBRT) is a rapidly emerging technology that enhances radiation therapy delivery. It allows for tightly conformed treatment fields and accurate delivery even with moving targets in the body. SBRT currently is used most commonly in treatment of medically inoperable stage I non-small cell lung cancers, as well as lung, liver, and spinal metastases. Studies to date are encouraging for increased local control with acceptable patient tolerance. This article familiarizes nurses with the use of this new technology and proposes the potential nursing role in maximizing patient preparation and follow-up care.

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    References

    BrainLab. (2008). Latest news. Retrieved February 3, 2008, from http://www.brainlab.com
    Chao, K. S., Perez, C. A., & Brady, L. W. (2002). Radiation oncology: Management decisions. Philadelphia: Lippincott Williams and Wilkins.
    Cox, K., & Wilson, E. (2003). Follow-up for people with cancer: Nurse-led services and telephone interventions. Journal of Advanced Nursing, 43(1), 51-61.
    Gerszten, P. C., Burton, S. A., Ozhasoglu, C., & Welsch, W. C. (2007). Radiosurgery for spinal metastases: Clinical experience in 500 cases from a single institution. Spine, 32(2), 193-199.
    Gibbs, I. C., Kamnerdsupaphon, P., Ryu, M. R., Dodd, R., Kiernan, M., Chang, S. D., et al. (2007). Image-guided robotic radiotherapy for spinal metastases. Radiotherapy and Oncology, 82(2), 185-190.
    Katz, A. W., Carey-Sampson, M., Muhs, A. G., Milano, M. T., Schell, M. C., & Okunieff, P. (2007). Hypofractionated stereotactic body radiation therapy (SBRT) for limited hepatic metastases. International Journal of Radiation Oncology, Biology, Physics, 67(3), 793-798.
    Lax, I., Blommgren, H., Naslund, I., & Svanstrom, R. (1994). Stereotactic radiotherapy of malignancies in the abdomen. Methodological aspects. Acta Oncologica, 33(6), 677-683.
    Ryu, S., Fang Yin, F., Rock, J., Zuh, J., Chu, A., Kagan, E., et al. (2003). Image-guided and intensity-modulated radiosurgery for patients with spinal metastasis. Cancer, 97(8), 2013-2018.
    Schefter, T. E., Kavanagh, B. D., Raben, D., Kane, M., Chen, C., Stuhr, K., et al. (2006). A phase I/II trial of stereotactic body radiation therapy (SBRT) for lung metastasis: Initial report of dose escalation and early toxicity. International Journal of Radiation Oncology, Biology, Physics, 66(4), S120-S127.
    Slotman, B. J., Solberg, T. D., Wurm, R., & Verellen, D. (2006). Introduction. In Slotman, B. J., Solberg, T. D., Wurm, R., & Verellen, D. (Eds.), Extracranial stereotactic radiotherapy and radiosurgery (pp. 1-4). New York: Taylor and Francis.
    Song, D. Y., Kavanagh, B. D., Benedict, S. H., & Schiefter, T. (2004). Stereotactic body radiation therapy: Rationale, techniques, applications, and optimization. Oncology, 18(11), 1419-1430.
    Timmerman, R., McGarry, R., Yiannoutsos, C., Papiez, L., Tudor, K., DeLuca, J., et al. (2006). Excessive toxicity when treating central tumors in a phase II study of stereotactic body radiation therapy for medically inoperable early-stage lung cancer. Journal of Clinical Oncology, 24(30), 4833-4839.
    Timmerman, R. D., Kavanagh, B. D., Cho, L. C., Papiez, L., & Xing, L. (2007). Stereotactic body radiation therapy in multiple organ sites. Journal of Clinical Oncology, 25(8), 947-952.