1252 / 1578
/
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
Case example: re-irradiation for verterbral metastasis
ESTRO SBRT 2017 - Matthias Guckenberger
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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
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07.09.17