What is your preferred palliative radiation regimen for patients with painful bone metastasis?

Please share your decision algorithm, if any (based on age, histology, KPS, lines of therapy already used, prognosis, etc.).

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For non-hospice (expected OS >6months) patient with painful bone mets, I typically use

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1 Answer

Mednet Member

Radiation Oncology · VA New Jersey Healthcare System - East Orange campus.

Answered on

Because of the great work of the BM Working Group led by Hartsell et al, and the Dutch, for examples, there are ample category 1 data supporting the use of Single Fraction (800cGyx1) EBRT for "uncomplicated" bone lesions. That is, the use of 800cGy x1 unless there is: a soft tissue component, an imp...

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