Do you ever consider hypo-fractionated palliative radiation postoperatively for bone metastases?

Guideline statements recommend 30 Gy in 10 fractions postoperatively due to lack of evidence for other fractionation schemes. Would you consider 20/5 or 8/1 for poor performers or patients who required hospitalization for the duration of treatment due to social issues?

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What's your preferred regimen for postoperative radiation treatment of bone mets?

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3 Answers

Mednet MemberInvited Expert

Radiation Oncology · Stony Brook University School of Medicine

Answered on

Yes, we use it routinely. We consider it one of the wise choices.

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Radiation Oncology · Fox Chase Cancer Center

Answered on

While I routinely offer 30 Gy in 10 fractions, I think there is reasonable evidence to support more hypofractionated regimens, especially for patients with poorer performance status, and I have offered 20 Gy/5 fractions myself. The main indication for treatment is to prevent local recurrence and pre...

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Radiation Oncology · Michigan Healthcare Professionals, PC

Answered on

I don't see why not.

I think of 8-10/1 as "pain control doses", while in this situation we are trying to improve local control, as well, so I have a bias towards fractionation. I have been using 20 Gy in 5 fx.

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