Does your choice of dose and fractionation for bone metastasis depend on the location of the metastasis in question?

What would you choose as the dose, fractionation and technique of following palliative scenarios with bone metastasis considering there are other visceral metastasis, but a controllable disease with moderate prognosis? Sternal metastasis Rib metastasis with some soft tissue involvement Skull metastasis Base of skull metastasis

1 Answer

Mednet Member

Radiation Oncology · Marshfield Clinic - Rice Lake

Answered on

Actually, at this point, I've pretty much gone to 400 cGy x 5 fx for most everything, with the exception of really nasty disease where I might do an SIB to the GTV to 500 x 5 while the PTV gets 400 x 5, or someone going straight from XRT to hospice where I'd give 800 x 1.

I still have a gut feeling ...

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