2017_SBRT_Course Book
Radiation induced myelopathy
• Appearance of signs/symptoms of sensory or motor deficits, loss of function or pain • Confirmed by magnetic resonance imaging • Occurs 6 months to 3 years after RT
ESTRO SBRT 2017 - Matthias Guckenberger
07.09.17
17
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Spinal cord tolerance in primary radiotherapy
Risk of myelopathy
Kirkpatrick QANTEC IJROBP 2005
50Gy
0.2%
60Gy
6%
Conversion of physical doses into 2Gy equivalent doeses: Ø LQ model with α/β ~ 2Gy
ESTRO SBRT 2017 - Matthias Guckenberger
07.09.17
18
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