2017_SBRT_Course Book

Radiotherapy – a double sided sword Total body / morrow irradiation Painful heel spur irradiation

Ø Local anti-inflammatory

Ø Systemic immunosupression

• Radiotherapy established anti-inflammatory and immune-supressive treatment

07.09.17 ESTRO SBRT COURSE 2017 - Matthias Guckenberger

25

/

Immuno-RT – new OARs to consider ?

12%

6%

6 cm

7 cm

19%

22%

Proportion of circulating lymphocytes inativated (>0.5%) by liver SBRT

Basler, Tanadini submitted

• Low-dose spread to lymphaytic system (circulating blood, lymph nodes, bone marrow) to be considered

/ 07.09.17 ESTRO SBRT COURSE 2017 - Matthias Guckenberger

26