Postoperative stereotactic physique radiotherapy for spinal metastases.
Chin Clin Oncol. 2017 Sep;6(Suppl 2):S18
Authors: Alghamdi M, Tseng CL, Myrehaug S, Maralani P, Heyn C, Soliman H, Lee Y, Ruschin M, Da Costa L, Yang V, Campbell M, Sahgal A
Backbone is a standard website of metastases in most cancers sufferers. Backbone surgical procedure is indicated for choose sufferers, sometimes these with mechanical instability and/or malignant epidural spinal twine (or cauda equina) compression. Though post-operative typical palliative exterior beam radiation remedy has been the usual of care, technical enhancements in radiation planning and image-guided radiotherapy have allowed for the appliance of stereotactic physique radiotherapy (SBRT) to the backbone. Backbone SBRT is meant to ablate residual tumor and optimize native management by delivering a number of fold higher biologically efficient doses. Early medical expertise of postoperative spinal SBRT report encouraging outcomes when it comes to security and efficacy. On this evaluate, we summarize the medical and technical elements pertinent to a protected and efficient follow of postoperative SBRT for spinal metastases.
PMID: 28917256 [PubMed – indexed for MEDLINE]