SBRT2015

Re-irradiation for spinal metastases

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“

 Maximum dose of 20Gy in 15 fractions

• Worst case scenario • 50% recovery because of (very) long interval

SBRT for re-irradiation

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