Palliative care 2016
Beware of spinal cord toxicity when re-irradiating spinal mets
• Risc scores
• Kans op myelopathie
- Two times 1x 8 Gy → BED2 40 Gy total → 3 rd time -> 60 Gy - Two times 5x 4 Gy → BED2 60 Gy total →… - 10 x 3 Gy → BED2 75 Gy total
Nieder et al. IJROBP 2005 & 2006
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