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Beware of spinal cord toxicity when re-irradiating

spinal mets

• Risc scores

• Kans op myelopathie

Nieder et al. IJROBP 2005 & 2006

- Two times 1x 8 Gy → BED2 40 Gy total → 3

rd

time -> 60 Gy

- Two times 5x 4 Gy → BED2 60 Gy total →…

- 10 x 3 Gy

→ BED2 75 Gy total