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

What dose/fractionation scheme do you use? Is SBRT a viable option?

How long after the first treatment should one wait?



Answer from: Radiation Oncologist at Community Practice
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Radiation Oncologist at Geisinger
What about SBRT as a good option?
Radiation Oncologist at Jacob E Locke MD PA
Vargas et al., PMID 32796141: "Patients with metas...
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Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Hospital HIMA San Pablo
Much appreciated and helpful answers. Palliation ...
Radiation Oncologist at Medical College of Wisconsin Affiliated Hospitals
I do not believe that re-treatment rates represent...
Radiation Oncologist at Hospital HIMA San Pablo
Thank you so much, excellent perspective, and very...
Radiation Oncologist at Multicare Health Syst
Great answer, @Candice Johnstone! I am in full ag...
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Answer from: Radiation Oncologist at Community Practice
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Radiation Oncologist at Physician Health Partners
I think so.
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