Radiosurgery in Glioblastoma: A literature review

Keywords: High-Grade Glioma, Glioblastoma, Gamma Knife Stereotactic Radiosurgery

Abstract

Managing high-grade gliomas, particularly glioblastoma, remains challenging despite advancements in radiation therapy and surgery. The standard care involves maximal surgical resection, followed by radiotherapy and Temozolomide chemotherapy. Gamma Knife Stereotactic
Radiosurgery (GKRS) has emerged as a noninvasive and effective option for treating a range of central nervous system lesions. GKRS offers precise, low-energy radiation delivery to a defined target, inducing tissue destruction while sparing healthy brain tissue. Although, side effects such as radiation necrosis have been noted, GKRS shows promise in treating glioblastoma, even with its infiltrative nature. This review explores the evolving landscape of high-grade glioma management, focusing on the potential of GKRS in improving treatment outcomes.

Author Biographies

Jose E Valerio, Latinoamerica Valerio Foundation,

Neurosurgery Oncology, Latinoamerica Valerio Foundation, Weston, FL, USA.

Maria Paula Fernandez Gomez, Latinoamerica Valerio Foundation

Clinical Research Fellow, Latinoamerica Valerio Foundation, Weston, FL, USA.

Noe Santiago, Latinoamerica Valerio Foundation

Clinical Research Fellow, Latinoamerica Valerio Foundation, Weston, FL, USA.

Andres M. Alvarez-Pinzon, Latinoamerica Valerio Foundation

Neurosurgery Oncology, Latinoamerica Valerio Foundation, Weston, FL, USA.

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Author Biographies

Jose E Valerio, Latinoamerica Valerio Foundation,

Neurosurgery Oncology, Latinoamerica Valerio Foundation, Weston, FL, USA.

Maria Paula Fernandez Gomez, Latinoamerica Valerio Foundation

Clinical Research Fellow, Latinoamerica Valerio Foundation, Weston, FL, USA.

Noe Santiago, Latinoamerica Valerio Foundation

Clinical Research Fellow, Latinoamerica Valerio Foundation, Weston, FL, USA.

Andres M. Alvarez-Pinzon, Latinoamerica Valerio Foundation

Neurosurgery Oncology, Latinoamerica Valerio Foundation, Weston, FL, USA.

References

Hart MG, Grant GRL, Solyom EF, Grant R. Biopsy versus resection for high-grade glioma. Cochrane Database of Systematic Reviews. 2019;2019(6). https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD002034.pub2/full

Perlow HK, Prasad RN, Yang M, et al. Accelerated hypofractionated radiation for elderly or frail patients with a newly diagnosed glioblastoma: A pooled analysis of patient-level data from 4 prospective trials. Cancer. 2022;128(12):2367-2374. https://acsjournals.onlinelibrary.wiley.com/doi/10.1002/cncr.34192

Hanif F, Muzaffar K, Perveen K, Malhi SM, Simjee SU. Glioblastoma Multiforme: A Review of its Epidemiology and Pathogenesis through Clinical Presentation and Treatment. Asian Pac J Cancer Prev. 2017;18(1):3-9. https://journal.waocp.org/article_42593.html

Wrensch M, Minn Y, Chew T, Bondy M, Berger MS. Epidemiology of primary brain tumors: current concepts and review of the literature. Neuro Oncol. 2002 Oct;4(4):278–99.

National Cancer Institute. Glioblastoma Multiforme Study.

Batchelor T, Shih HA. Management of glioblastoma in older adults. UpToDate. Published online August 15, 2023.

Rigamonti A, Simonetti G, Silvani A, et al. Adult brainstem glioma: a multicentre retrospective analysis of 47 Italian patients. Neurological Sciences. 2021;42(5):1879-1886. https://link.springer.com/article/10.1007/s10072-020-04725-7

Omuro A, Beal K, Gutin P, et al. Phase II study of bevacizumab, temozolomide, and hypofractionated stereotactic radiotherapy for newly diagnosed glioblastoma. Clinical Cancer Research. 2014;20(19):5023-5031. https://aacrjournals.org/clincancerres/article/20/19/5023/208813/Phase-II-Study-of-Bevacizumab-Temozolomide-and

Guan Y, Xiong J, Pan M, et al. Safety and efficacy of Hypofractionated stereotactic radiosurgery for high-grade Gliomas at first recurrence: a single-center experience. BMC Cancer. 2021;21(1):123. https://bmccancer.biomedcentral.com/articles/10.1186/s12885-021-07856-y

Strickland BA, Zada G. 5-ALA Enhanced Fluorescence−Guided Microscopic to Endoscopic Resection of Deep Frontal Subcortical Glioblastoma Multiforme. World Neurosurg. 2021;148:65. https://linkinghub.elsevier.com/retrieve/pii/S1878875021000127

Vogelbaum MA, Kroll D, Etame A, et al. A Prospective Validation Study of the First 3D Digital Exoscope for Visualization of 5-ALA–Induced Fluorescence in High-Grade Gliomas. World Neurosurg. 2021;149:e498-e503.https://www.sciencedirect.com/science/article/abs/pii/S1878875021001789?via%3Dihub

Waqar M, Roncaroli F, Djoukhadar I, et al. Study protocol: PreOperative Brain Irradiation in Glioblastoma (POBIG) - A phase I trial. Clin Transl Radiat Oncol. 2023;39:100585. https://linkinghub.elsevier.com/retrieve/pii/S1878875021001789

Omuro A, DeAngelis LM. Glioblastoma and other malignant gliomas: a clinical review. JAMA. 2013;310(17):1842-1850.https://jamanetwork.com/journals/jama/article-abstract/1764056

Amelio D, Amichetti M. Radiation therapy for the treatment of recurrent glioblastoma: an overview. Cancers (Basel). 2012;4(1):257-280. https://www.mdpi.com/2072-6694/4/1/257

Lehrer EJ, Ruiz-Garcia H, Nehlsen AD, et al. Preoperative Stereotactic Radiosurgery for Glioblastoma. Biology (Basel). 2022;11(2):194. https://www.mdpi.com/2079-7737/11/2/194

Sulman EP, Ismaila N, Armstrong TS, et al. Radiation Therapy for Glioblastoma: American Society of Clinical Oncology Clinical Practice Guideline Endorsement of the American Society for Radiation Oncology Guideline. J Clin Oncol. 2017;35(3):361-369.https://www.mdpi.com/2079-7737/11/2/194

Chargari C, Magne N, Guy JB, et al. Optimize and refine therapeutic index in radiation therapy: Overview of a century. Cancer Treat Rev. 2016;45:58-67. https://linkinghub.elsevier.com/retrieve/pii/S0305737216000335

Waqar M, Trifiletti DM, McBain C, et al. Early Therapeutic Interventions for Newly Diagnosed Glioblastoma: Rationale and Review of the Literature. Curr Oncol Rep. 2022;24(3):311-324. https://link.springer.com/article/10.1007/s11912-021-01157-0

Clarke J, Neil E, Terziev R, et al. Multicenter, Phase 1, Dose Escalation Study of Hypofractionated Stereotactic Radiation Therapy With Bevacizumab for Recurrent Glioblastoma and Anaplastic Astrocytoma. Int J Radiat Oncol Biol Phys. 2017;99(4):797-804.https://linkinghub.elsevier.com/retrieve/pii/S0360301617335496

Minniti G, Niyazi M, Alongi F, Navarria P, Belka C. Current status and recent advances in reirradiation of glioblastoma. Radiat Oncol. 2021;16(1):36. https://ro-journal.biomedcentral.com/articles/10.1186/s13014-021-01767-9

Mantica M, Drappatz J, Lieberman F, Hadjipanayis CG, Lunsford LD, Niranjan A. Phase II study of border zone stereotactic radiosurgery with bevacizumab in patients with recurrent or progressive glioblastoma multiforme. J Neurooncol. 2023;164(1):179-190. https://link.springer.com/article/10.1007/s11060-023-04398-0

Kulinich DP, Sheppard JP, Nguyen T, et al. Radiotherapy versus combination radiotherapy-bevacizumab for the treatment of recurrent high-grade glioma: a systematic review. Acta Neurochir (Wien). 2021;163(7):1921-1934.https://link.springer.com/article/10.1007/s00701-021-04794-3

Omuro A, Beal K, Gutin P, et al. Phase II Study of Bevacizumab, Temozolomide, and Hypofractionated Stereotactic Radiotherapy for Newly Diagnosed Glioblastoma. Clinical Cancer Research. 2014;20(19):5023-5031. https://aacrjournals.org/clincancerres/article/20/19/5023/208813/Phase-II-Study-of-Bevacizumab-Temozolomide-and

How to Cite
Valerio, J. E., Fernandez Gomez, M. P., Santiago, N., & Alvarez-Pinzon, A. M. (2024). Radiosurgery in Glioblastoma: A literature review. Revista Med, 31(2), 71–78. https://doi.org/10.18359/rmed.7041
Published
2024-04-10
Section
Artículos

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