NDLI: Radiation therapy alone for imaging-defined meningiomas.

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Radiation therapy alone for imaging-defined meningiomas.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Korah, Mariam P. Nowlan, Adam W. Johnstone, Peter A. S. Crocker, Ian R.
Description	Country affiliation: United States Author Affiliation: Korah MP ( Department of Radiation Oncology, Emory University School of Medicine, Atlanta, GA, USA. mariam@radonc.emory.org)
Abstract	PURPOSE: To assess local control and treatment-related toxicity of single-modality radiation therapy (RT) in the treatment of imaging-defined meningiomas. METHODS AND MATERIALS: The records of Emory University School of Medicine, Atlanta, GA, were reviewed between 1985 and 2003. We identified 41 patients with 42 meningiomas treated with RT alone for lesions diagnosed on imaging alone. No patients received a histologic diagnosis. Patients in whom there was uniform agreement that the tumor represented a meningioma were accepted for therapy. Of the patients, 22 were treated with stereotactic radiosurgery (SRS), 11 with fractionated stereotactic radiotherapy (FSR), and 9 with three-dimensional conformal therapy (3DCRT). The median doses of SRS, FSR, and 3DCRT were 14 Gy, 50.4 Gy, and 52.2 Gy, respectively. RESULTS: Median follow-up was 60 months. Of 42 meningiomas, 39 were locally controlled. The 8-year actuarial local control rate by Kaplan-Meier methods was 94%. One failure occurred 6 months after 3DCRT, a second at 34 months after FSR, and a third at 125 months after SRS. A temporary symptomatic radiation-related neurologic sequela developed in 1 patient treated with SRS. No fatal treatment complications occurred. The 8-year rate for actuarial freedom from complication survival by Kaplan-Meier methods was 97%. CONCLUSIONS: RT alone is an attractive alternative to surgery for imaging-defined meningiomas without significant mass effect. It offers local control comparable to surgical resection with minimal morbidity. RT should be considered as a viable alternative to surgery for tumors in various locations.
File Format	HTM / HTML
ISSN	03603016
Issue Number	1
Volume Number	76
e-ISSN	1879355X
Journal	International Journal of Radiation OncologyastBiologyastPhysics
Language	English
Publisher	Elsevier
Publisher Date	2010-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Radiology Meningeal Neoplasms Radiotherapy Surgery Meningioma Radiosurgery Methods Radiotherapy, Conformal Adult Aged Aged, 80 And Over Feasibility Studies Female Follow-up Studies Humans Magnetic Resonance Imaging Male Diagnosis Middle Aged Adverse Effects Radiotherapy Dosage Tomography, X-ray Computed Evaluation Studies Journal Article
Content Type	Text
Resource Type	Article
Subject	Radiology, Nuclear Medicine and Imaging Cancer Research Radiation Oncology

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