Palliation

Stereotactic Body Radiotherapy

Questions discussed in this category

Do you prescribe prophylactic steroids with spine SBRT?

Does fractionation (or location) influence this decision? What is your preferred steroid dose?

How would you treat a patient with oligometastatic disease to the lung for whom SBRT/SABR is not feasible?

How would you approach treatment if SBRT was not technically possible? How would you opt to treat if SBRT was instead not covered by insurance, and w...

2 Answers available

Are there extra precautions required for SBRT to a lesion that is proximal to an aortic aneurysm?

1 Answer available

What are reasonable SBRT dose constraints for the lumbosacral plexus?

In treating an oligometastatic lesion in the sacrum, is it reasonable to extrapolate from RTOG brachial plexus contraints (eg, 8 Gy/fx for a 3-fractio...

4 Answers available

What is your thought process for dose prescriptions when treating abdominal/pelvic lymph node oligometastasis with SBRT?

For that occasional "single lymph node metastasis" referral in patients with no other sites of disease, is there a therapeutic dose below which you're...

5 Answers available

Is it safe to deliver SBRT to progressive lung metastases to patients with metastatic RCC receiving concurrent pazopanib?

2 Answers available

Do you have a size criteria when treating lung oligometastases with SBRT?

Would you consider treating 3-5mm lesions with SBRT or wait until they are a certain size? I am concerned I will not be able to see them adequately on...

4 Answers available

What criteria do you use when selecting a multi-fraction vs single fraction approach for treatment of spine metastases with radiosurgery?

1 Answer available

What sites for SBRT are thought to be more immunogenic for antigen presentation when combined with immunotherapy?

If given options of liver, lung, spine, brain, axilla, or other lymph nodes which sites do you pick?

1 Answer available

Would you recommend post-operative radiation to an oligometastatic subcutaneous lesion resected with positive microscopic margins?

If so, how would you approach treatment?

1 Answer available

When is it appropriate to recommend SBRT directed to sites of oligometastasis (ex, single adrenal met) for a patient with extensive stage small cell s/p chemo and PCI?

3 Answers available

Is there evidence to suggest that SRS/SBRT for spine or bone metastases provides faster and more durable palliative relief or soft tissue decompression than a fractionated course?

1 Answer available

What is the appropriate target volume for SBRT to a non-vertebral osseous metastasis?

Does your volume change based on fractionation (high-dose single fraction vs. 3-5 fractions)? Do you treat the entire circumference of long bones? Wha...

1 Answer available

How do you treat a radioresistant (e.g. RCC or melanoma) oligometastases in a weight-bearing bone after surgical resection and stabilization?

If surgical stabilization has been performed, do you go with SBRT dosing? If so, do you treat only the involved site and not the extent of hardware? D...

1 Answer available

Would you utilize SRS/SBRT in a patient with oligometastatic disease from adenocarcinoma of the lung who is unable to receive standard chemotherapy?

For example, in a patient minimal brain and liver metastasis, would you treat all sites definitively?

2 Answers available

Do you treat supraclavicular metastasis with SBRT?

If so what dose-fractionation do you use and what constraints for brachial plexus?

1 Answer available

Do you require a biopsy prior to SBRT for pulmonary metastases from oligometastatic disease?

Specifically from a GI primary?

3 Answers available

When should SBRT be offered to oligometastatic bone disease in a patient with prostate cancer?

What factors should be considered with offering SBRT to oligometastatic bone disease in prostate cancer patients? Should this been done off of a proto...

2 Answers available

What is the biggest mistake people make when starting a linac SRS program?

Any advice on how to safely incorporate it into our practice?

2 Answers available

What clinical factors help you to determine whether or not a patient is an appropriate candidate for spine SRS/SBRT in the setting of metastatic disease?

1 Answer available

When is it appropriate to use SBRT in treating lung metastases (oligomet, up to 3 mets etc.?)

What dose/fractionation is appropriate and does it differ between histology?

1 Answer available