1235 / 1578
/
• Conventional „low-dose“ radiotherapy with 1 x 8Gy is the
guideline recommended treatment of choice for painful
vertebral metastases
•
Nevertheless:
Ø
Lack of any response in 1 / 3 of the patients
Ø
Incomplete pain reponse in 2 / 3 of the patients
Ø
Limited palliative effect after 3 – 6 months
Ø
Limited efficacy in mass-like metastases
Summary of conventional RT
ESTRO SBRT 2017 - Matthias Guckenberger
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07.09.17
/
Motivation to explore SBRT for
vertebral metastases
• Oligo-metastasis
Ø
Improve OS
• Oligo-progression
Ø
Delay of systemic treatment
Ø
Delay change of systemic treatment
• More effective palliation – high-tech palliation
Ø
Long-term pain control
Ø
Higher rates of complete pain response
Ø
Prevention of metastatic spinal cord compression
ESTRO SBRT 2017 - Matthias Guckenberger
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07.09.17