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Imaging response assessment following stereotactic body radiotherapy for solid tumour metastases of the spine: Current challenges and future directions
Author(s) -
O’Sullivan Siobhra,
McDermott Ronan,
Keys Maeve,
O’Sullivan Maeve,
Armstrong John,
Faul Clare
Publication year - 2020
Publication title -
journal of medical imaging and radiation oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.31
H-Index - 43
eISSN - 1754-9485
pISSN - 1754-9477
DOI - 10.1111/1754-9485.13032
Subject(s) - medicine , radiomics , modalities , radiology , medical physics , radiation therapy , medical imaging , disease , pathology , social science , sociology
Patients with metastatic disease are routinely serially imaged to assess disease burden and response to systemic and local therapies, which places ever‐expanding demands on our healthcare resources. Image interpretation following stereotactic body radiotherapy (SBRT) for spine metastases can be challenging; however, appropriate and accurate assessment is critical to ensure patients are managed correctly and resources are optimised. Here, we take a critical review of the merits and pitfalls of various imaging modalities, current response assessment guidelines, and explore novel imaging approaches and the potential for radiomics to add value in imaging assessment.