22
SBRT for re-irradiation
Spine SBRT as re-treatment
Evidence-based clinical practice:
•
IMRT treatment planning required
(100% agreement)
•
Daily IGRT required
(100% agreement)
Study
Planning
Set-up / imaging
Milker-Zabel 2003
ss-IMRT
Stereotactic
Mahan 2005
Tomotherapy
Daily MV-CT
Sahgal 2009
Cyberknife
kV tracking
Choi 2010
Cyberknife
kV tracking
Sterzing 2010
Tomotherapy
Daily MV-CT
Damast 2010
IMRT
Daily portal images or CBCT
Garg 2011
IMRT
Daily CT on rails or CBCT
Mahadevan 2011
Cyberknife
kV tracking
Chang 2012
Cyberknife
kV tracking
Re-irradiation for spinal metastases