Stereotactic Body Radiotherapy for Patients with Lung Oligometastatic Disease: A Five-Year Systematic Review

Simple Summary Stereotactic body radiation therapy (SBRT) is currently used to treat lung metastasis, particularly in the setting of oligometastatic disease. Objective of this treatment is lesion's ablation. However, its techniques, efficacy, and safety remain to be evaluated. Several teams have published their experiences with different radiotherapy schedules. The aim of this review was to analyze these topics in regard to the last five years of publications. For this purpose, we carried out a systematic review of the literature using the PRISMA method. This review can help oncologists involved in lung oligometastasis to clarify their knowledge through the wealth of published data and may lead to improved management. For several years, oligometastatic disease has represented an intermediate state between localized disease accessible to local treatment and multimetastatic disease requiring systemic therapy. The lung represents one of the most common metastatic locations. Stereotactic body radiation therapy (SBRT) appears to be the treatment of choice for these patients. There are few data defining the place of radiotherapy and reporting outcome after SBRT in lung metastases. This 5-year review aimed to determine areas of SBRT usefulness and methods for the management of pulmonary metastasis in oligometastatic patients. A search for articles on PubMed allowed selection of the most relevant studies. Eighteen articles were selected according to pre-established criteria for this purpose. The analysis concludes that SBRT is an effective and safe treatment in selected patients when the disease remains localized from one to three organs.

Automated summary

Stereotactic body radiation therapy (SBRT) is an effective and safe treatment for lung metastases, particularly in oligometastatic patients with localized disease involving one to three organs. This review summarized the recent progress and evaluation results of radiotherapy for pulmonary metastasis in the past five years.