ICRU report 91 on prescribing, recording, and reporting of stereotactic treatments with small photon beams

Statement from the DEGRO/DGMP working group stereotactic radiotherapy and radiosurgery
  • Lotte WilkeEmail author
  • Nicolaus Andratschke
  • Oliver Blanck
  • Thomas B. Brunner
  • Stephanie E. Combs
  • Anca-Ligia Grosu
  • Christos Moustakis
  • Daniela Schmitt
  • Wolfgang W. Baus
  • Matthias Guckenberger
Review Article


The International Commission on Radiation Units and Measurements (ICRU) report 91 with the title “prescribing, recording, and reporting of stereotactic treatments with small photon beams” was published in 2017. This extensive publication covers different relevant aspects of stereotactic radiotherapy such as small field dosimetry, accuracy requirements for volume definition and planning algorithms, and the precise application of treatment by means of image guidance. Finally, recommendations for prescribing, recording and reporting are given.


Stereotactic radiosurgery Stereotactic radiotherapy Stereotactic body radiation therapy Radiotherapy planning, computer-assisted Organs at risk 

ICRU-Bericht 91 über die Verschreibung, Aufzeichnung und Dokumentation von stereotaktischen Behandlungen mit kleinen Photonenfeldern

Stellungnahme der DEGRO/DGMP-Arbeitsgruppe Stereotaktische Strahlentherapie und Radiochirurgie


In 2017 wurde der Report 91 der International Commission on Radiation Units and Measurements (ICRU) zur Verordnung und Dokumentation von stereotaktischen Bestrahlungen mit kleinen Photonenfeldern veröffentlicht. Die umfassende Publikation geht auf diverse relevante Aspekte der Stereotaxie ein, wie die Kleinfelddosimetrie, die Genauigkeitsanforderungen der Volumendefinition und der Planungsalgorithmen sowie die präzise Applikation der Bestrahlung mithilfe von Bildgebung. Schließlich werden Empfehlungen zu Verschreibung und Dosisdokumentation bei stereotaktischen Bestrahlungen gegeben.


Stereotaktische Radiochirurgie  Stereotaktische Strahlentherapie Stereotaktische Körperstammstrahlentherapie Strahlentherapieplanung, computergestützte  Risikoorgane 


Conflict of interest

L. Wilke, N. Andratschke, O. Blanck, T.B. Brunner, S.E. Combs, A.-L. Grosu, C. Moustakis, D. Schmitt, W. Baus and M. Guckenberger declare that they have no competing interests.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Lotte Wilke
    • 1
    Email author
  • Nicolaus Andratschke
    • 1
  • Oliver Blanck
    • 2
  • Thomas B. Brunner
    • 3
  • Stephanie E. Combs
    • 4
  • Anca-Ligia Grosu
    • 5
  • Christos Moustakis
    • 6
  • Daniela Schmitt
    • 7
  • Wolfgang W. Baus
    • 8
  • Matthias Guckenberger
    • 1
  1. 1.Klinik für StrahlentherapieUniversitätsspital ZürichZürichSwitzerland
  2. 2.Klinik für StrahlentherapieUniversitätsklinikum Schleswig-HolsteinKielGermany
  3. 3.Klinik für StrahlentherapieUniversitätsklinikum MagdeburgMagdeburgGermany
  4. 4.Klinikum rechts der Isar, Klinik für Radioonkologie und StrahlentherapieTechnische Universität MünchenMunichGermany
  5. 5.Klinik für StrahlentherapieUniversitätsklinikum FreiburgFreiburgGermany
  6. 6.Klinik für StrahlentherapieUniversitätsklinikum MünsterMünsterGermany
  7. 7.Klinik für Radioonkologie und StrahlentherapieUniversitätsklinikum HeidelbergHeidelbergGermany
  8. 8.Klinik für Strahlentherapie, Radioonkologie und CyberKnifeUniklinik KölnCologneGermany

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