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Updated: Mar 28, 2026
Stereotactic Radiosurgery for Gynecologic Cancer
Published on: April 17, 2012
Current status of cranial stereotactic radiosurgery in the UK
Alexis Dimitriadis1,2,3, Karen J Kirkby4,5, Andrew Nisbet1,2
11 Department of Physics, Faculty of Engineering and Physical Sciences, University of Surrey, Guildford, UK.
Objective:
To investigate and benchmark the current clinical and dosimetric practices in stereotactic radiosurgery (SRS) in the UK.
Methods:
A detailed questionnaire was sent to 70 radiotherapy centres in the UK. 97% (68/70) of centres replied between June and December 2014.
Results:
21 centres stated that they are practising SRS, and a further 12 centres plan to start SRS by the end of 2016. The most commonly treated indications are brain metastases and acoustic neuromas. A large range of prescription isodoses that range from 45% to 100% between different radiotherapy centres was seen. Ionization chambers and solid-water phantoms are used by the majority of centres for patient-specific quality assurance, and thermoplastic masks for patient immobilization are more commonly used than fixed stereotactic frames. The majority of centres perform orthogonal kilovoltage X-rays for localization before and during delivery. The acceptable setup accuracy reported ranges from 0.1 to 2 mm with a mean of 0.8 mm.
Conclusion:
SRS has been increasing in use in the UK and will continue to increase in the next 2 years. There is no current consensus between SRS centres as a whole, or even between SRS centres with the same equipment, on the practices followed. This indicates the need for benchmarking and standardization in SRS practices within the UK.
Advances In Knowledge:
This article outlines the current practices in SRS and provides a benchmark for reference and comparison with future research in this technique.
