2017_SBRT_Course Book
Question: What treatment would you offer to the patient ? 1. RT is no option because of spinal cord tolerance is reached
2. Palliative RT with 1 x 8Gy 3. Single fraction radiosurgery 4. Multiple fraction SBRT
ESTRO SBRT 2017 - Matthias Guckenberger
07.09.17
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Case example: re-irradiation for verterbral metastasis
Assumption of spinal cord tolerance:
40Gy
-31 years -2 years
20 + 2 Gy
62Gy 30Gy
physical dose
-> 50% recovery
residual „damage“ Ø Maximum dose of 20Gy in 15 fractions
ESTRO SBRT 2017 - Matthias Guckenberger
07.09.17
6
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