Brain Metastases
Conditions
Keywords
Radiosurgery, Frameless radiosurgery, Accuracy
Brief summary
The investigators plan to study high dose, single treatment radiation, using a plastic mask instead of a head frame that pins into a patient's skull. The investigators need to (1) quantify set-up accuracy and patient motion during radiation treatment and (2) ensure that without the head frame the tumour control rate and risk of complications are similar to our previous experience using the head frame.
Interventions
Linac-based radiosurgery using a thermoplastic mask (single treatment)
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with brain metastases from a biopsy-proven primary extra-cranial tumor site, excluding lymphoma, germ cell, and small cell lung carcinoma histologies. * One to four metastases, and all lesions \< 3.5 cm in maximal diameter. Extracranial metastases is of minimal volume or stable with treatment. - Karnofsky performance status ≥ 70
Exclusion criteria
* None of the lesions is abutting or within critical neurological structures: \*brainstem * optic chiasm * eye, and optic nerve. * The clearance between metastatic lesions and all critical structures must be at least 2 mm. * Patients must not have leptomeningeal disease. * Contraindications to imaging or radiation (e.g. pregnancy, elevated serum creatinine, allergy to contrast agents, severe claustrophobia, metal particles in the eye).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quantification of patient movement occurring during treatment. | overall |
Secondary
| Measure | Time frame |
|---|---|
| Local tumour control | overall |
| risk of complication (radionecrosis) | overall |
Countries
Canada