How do you approach re-treatment if a patient still has pain from spine metastasis after 30 Gy in 10 fractions?

There is a myth in radiation oncology that 30 Gy in 10 fractions (MF) is more durable than single fraction (SF) regimens. On average, patients treated with SF or MF regimens have pain relief that lasts about 4 months. On average, 50% of patients experience recurrence of pain, regardless of the initi...

In addition to the excellent response by Dr. @Dr. First Last, a few things to consider: if spine met associated with pathologic fracture, radiation will not improve the pain due to the fracture. I try to advise my patients of this prior to treatment initiation. Also helpful to determine if the patie...

With APM on the horizon, I expect nearly everyone will get 8 Gy/1 fx regimens going forward...