Treatment of liver metastases with SBRT is increasingly common in the setting of metastatic disease and even primary tumors. However, challenges are unique to the liver that include deformation of the organ itself and constantly shifting OAR both intra-fraction and inter-fraction.

This journal activity provides practitioners with the knowledge about the current liver cancer radiotherapy guidelines.

In this session, learners will review 3 typical cases of gastrointestinal cancer: esophagus, pancreatic, and cholangiocarcinoma.  They will be assigned specific images from a treatment planning scan and will provide contours of target volumes that will be compared to other learners as well as the

This activity provides an opportunity to understand the key steps in the process of care for SBRT treatment of liver (primary and metastases), focusing on patient selection, imaging, simulation, treatment planning and image guidance, and discuss challenges in motion management and delivery.