Framebased-Frameless_DV_2017_final.pptx

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SBRT Spine - Matthias Guckenberger

7

Mizumoto Cancer 2008

Pre-SBRT risk assessment

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SBRT Spine - Matthias Guckenberger

8

Epidural disease:

10 x 4.85Gy

EQD2 60Gy

No epidural disease:

5 x 8Gy

EQD2 60Gy

Fractionation

Scheme

5x 4 / 8

10x3/ 4.85

5x 4/ 7

10x3/ 4.85

Spinal Cord +

1mm

23.75

35

0.1cm

3

20

30

Cauda Equina

25

37.5

0.1cm

3

20

30

Kidney

-

-

10

12

Bowel

24

37

1cm

3

-

-

Esophagus

30

40

1cm

3

-

-

Liver

-

12.5

17.5

Dose & fractionation in DOSIS trial