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?
Answer from: Radiation Oncologist at Academic Institution
The simple answer is NO - there is no standard spinal SBRT dose regimen for patients with oligometastatic disease. There are a number of publicatations that demonstrate very good tumor control using 18-24 Gy in a single fraction, as well as a variety of hypofractionated treatment schedules in ...
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Answer from: Radiation Oncologist at Academic Institution
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...