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Radiation Oncology • General Radiation Oncology
What dose and fractionation would you use for a non-operable solitary fibrous tumor in the lumbar vertebra with definitive intent?
SFTs are generally treated to ~60 Gy if definitive intent is intended. Due to location and surrounding OARs, not sure if SBRT could be recommended to very high doses or if Proton therapy would be a better option in this case?
Answer from: Radiation Oncologist at Academic Institution
I remain unconvinced that protons offer better high-dose dosimetry (unless you believe in the shower/bath theory). Max dose will be less with fancy IGRT/IMRT (like 2 Gy a day Cyberknife). There might be no spinal cord, so you might be able to push the dose. I have no experience in such SBRT, but it ...
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