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16

SBRT for re-irradiation

Spinal cord tolerance in primary radiotherapy

50Gy

0.2%

60Gy

6%

Risk of

myelopathy

Conversion of physical doses into 2Gy equivalent doeses:

LQ model with α/β ~ 1-2Gy

Kirkpatrick QANTEC IJROBP 2005

Re-irradiation for spinal metastases