SBRT 2016

Painful bone / vertebral metastases

Duration

Palliative RT

Pain response

59% @ 3 mo 50% @ 3 mo Median 3.5 mo Median 3.5 mo Median 5 mo Median 6 mo Median 3.5mo Median 5.5 mo

Prince 1986

1 x 8Gy 10 x 3Gy

73% 64%

Gaze 1997

1 x 10Gy 5 x 4.5Gy

84% 89%

Steenland 1999

1 x 8Gy 6 x 4Gy

72% 69%

Roos 2005

1 x 8Gy 5 x 4Gy

61% 53%

• Conventional radiotherapy = Short term palliation  Patients with better OS will develop pain recurrence

ESTRO SBRT COURSE 2016 - Matthias Guckenberger

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