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CONCLUSION

• Despite week level of evidence, there appears to be spinal

cord recovery

• Spinal cord recovery reaches

50

100

%

• Spinal cord recovery is best if

• RT interval is > 6 months

• First RT series was below tolerance dose

• SBRT very promising tool in this situation of limited

alternatives

ESTRO SBRT 2017 - Matthias Guckenberger

27

07.09.17

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Topics

1.Normal tissue tolerance in re-

irradiation

2.Re-

irradiation of spinal metastases

3.Re-

irradiation of NSCLC

ESTRO SBRT 2017 - Matthias Guckenberger

28

07.09.17