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Is there a standard spinal SBRT dose regimen for patients with "oligometastatic" disease being treated with curative intent?

Do you use the same regimen for primary treatment, re-treatment, and post-op?
2 Answers
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Radiation Oncology · Memorial Sloan Kettering Cancer Center
Answered on

The simple answer is NO - there is no standard spinal SBRT dose regimen for patients with oligometastatic disease. There are a number of publications that demonstrate very good tumor control using 18-24 Gy in a single fraction, as well as a variety of hypofractionated treatment schedules in a variet...

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Mednet Member
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Radiation Oncology · University of Toronto Faculty of Medicine
Answered on

The answer really depends on whether this is de novo vs. salvage treatment. The literature is mixed as to the correct dose fractionation scheme. The U of Toronto experience is primarily with 2 fractionation scheme. Our initial de novo dose fractionation scheme was 24 Gy in 2 fractions, which has bee...

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