[Stereotactical radiotherapy in pediatrics indications].
Stereotactical radiotherapy is a very high precision procedure, limited to radiosurgery since a long time. Technologic progress permitted to develop radiotherapy in stereotactical conditions, leading to a lot of innovations. Previously indicated for cerebral pathologies, this procedure is now developed for extracerebral locations. In pediatrics, stereotactical radiotherapy is still limited, delivered precociously, due to the possibility of long-term late effects that needs to be to addressed. This review reports the different useful conditions, technical evolutions, and the current validated pediatric indications, with differences from adults, and future directions. Current state of pediatric stereotactical radiotherapy used in France is presented.
Bernier-Chastagner
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Département de Radiothérapie, Centre Alexis-Vautrin, 54511 Vandoeuvre-lès-Nancy cedex, France. v.bernier@nancy.fnclcc.fr
D001932:Brain Neoplasms / Q000532:radiotherapy*; D002648:Child; D004806:Ependymoma / Q000532:radiotherapy*; D004867:Equipment Design; D005602:France; D006801:Humans; D008527:Medulloblastoma / Q000532:radiotherapy*; D009369:Neoplasms / Q000532:radiotherapy*; D010315:Particle Accelerators; D011187:Posture; D011856:Radiographic Image Enhancement; D016634:Radiosurgery / Q000295:instrumentation / Q000379:methods* / Q000639:trends; D011879:Radiotherapy Dosage