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

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