Do you routinely contour spinal nerves as avoidance structures for spine SBRT/SRS cases other than those for the brachial and lumbosacral plexuses?
Is this different for de novo or reirradiation cases? Would you recommend avoidance of the nerve roots if there is gross disease present in these areas?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · University of Washington School of Medicine
Answered on
In my practice, I do not typically contour spinal nerves as OARs other than those for brachial and lumbrosacral plexuses. Radiculopathy can occur but it is usually well tolerated and self-limiting. In my experience, the rate of persistent radiculopathy is very low.
Join for free or sign in to see the full answer