2017_SBRT_Course Book
Case example: re-irradiation for verterbral metastasis
Target definition: only affected parts of the vertebrae included into TV IMRT planning: 40Gy in 15 Fx with SC max 20Gy
Immobilization: double vacuum BodyFIX IGRT: daily using CBCT
ESTRO SBRT 2017 - Matthias Guckenberger
07.09.17
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Loco-regional failure after primary R(CH)T
H&N: 40%
Bourhis Lancet Oncol 2012
NSCLC: 40% Auperin JCO 2010 Esophagus: 40% Stahl JCO 2009 Rectum: 6%
Hofheinz Lancet Oncol 2012
Cercix: 13%
Duenas-Gonzalez JCO 2011
• Salvage surgery often difficult after radical RT • Re-irradiation should be a frequent clinical challenge
ESTRO SBRT 2017 - Matthias Guckenberger
07.09.17
8
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