Stereotactic radiosurgery for vestibular schwannoma: International Stereotactic Radiosurgery Society (ISRS) Practice Guideline.

Détails

ID Serval
serval:BIB_5CAE5E97ABA0
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Stereotactic radiosurgery for vestibular schwannoma: International Stereotactic Radiosurgery Society (ISRS) Practice Guideline.
Périodique
Journal of radiosurgery and SBRT
Auteur(s)
Tsao M.N., Sahgal A., Xu W., De Salles A., Hayashi M., Levivier M., Ma L., Martinez R., Régis J., Ryu S., Slotman B.J., Paddick I.
ISSN
2156-4639 (Print)
Statut éditorial
Publié
Date de publication
2017
Peer-reviewed
Oui
Volume
5
Numéro
1
Pages
5-24
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The aim of this systematic review was to develop International Stereotactic Radiosurgery Society (ISRS) consensus guideline statements for vestibular schwannoma.
A systematic review of the literature was performed up to April 2015.
A total of 55 full-text articles were included in the analysis. All studies were retrospective, except for 2 prospective quality of life studies. Five-year tumour control rates with Gamma Knife radiosurgery (RS), single fraction linac RS, or fractionated (either hypofractionated or conventional fractionation) stereotactic radiation therapy (FSRT) were similar at 81-100%. The single fraction RS series (linac or Gamma Knife) with tumour marginal doses between 12 and 14 Gy revealed 5-year tumour control rates of 90-99%, hearing preservation rates of 41-79%, facial nerve preservation rates of 95-100% and trigeminal preservation rates of 79-99%.There were 6 non-randomized studies comparing single fraction RS versus FSRT. There was no statistically significant difference in tumour control; HR=1.66 (95% CI 0.81, 3.42), p =0.17, facial nerve function; HR = 0.67 (95% CI 0.30, 1.49), p =0.33, trigeminal nerve function; HR = 0.80 (95% CI 0.41, 1.56), p =0.51, and hearing preservation; HR = 1.10 (95% CI 0.72, 1.68), p =0.65 comparing single fraction RS with FSRT.Nine quality of life reports yielded conflicting results as to which modality (surgery, observation, or radiation) was associated with better quality of life outcomes.
There are no randomized trials to help guide management of patients with vestibular schwannoma. Within the limitations of the retrospective series, a number of consensus statements were made.

Mots-clé
acoustic, neuroma, schwannoma, systematic review, vestibular
Pubmed
Web of science
Création de la notice
13/01/2018 15:48
Dernière modification de la notice
20/08/2019 15:15
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