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

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