Spine metastases (SMs) are common, arising in 70% of the cases of the most prevalent malignancies in males (prostate cancer) and females (breast cancer). Stereotactic body radiotherapy, or SBRT, has been incorporated into clinical treatment algorithms over the past decade. SBRT has shown promising rates of local control for oligometastatic spinal lesions with low radiation dose to adjacent critical tissues, particularly the spinal cord. Imaging is critically important in SBRT planning, guidance, and response monitoring. This paper reviews the roles of imaging in spine SBRT, including conventional and advanced imaging approaches for SM detection, treatment planning, and post-SBRT follow-up.
脊柱转移瘤(SMs)较为常见,约70%的男性最常见恶性肿瘤(前列腺癌)和女性最常见恶性肿瘤(乳腺癌)患者会发生脊柱转移。在过去十年中,立体定向放射治疗(SBRT)已被纳入临床治疗方案。SBRT对寡转移性脊柱病灶显示出良好的局部控制率,且对邻近关键组织(尤其是脊髓)的放射剂量较低。影像学在SBRT的计划制定、治疗引导和疗效监测中至关重要。本文综述了影像学在脊柱SBRT中的作用,包括用于脊柱转移瘤检测、治疗计划制定以及SBRT后随访的常规和先进影像学方法。