27
Neurological complaints -> use prognostic system to choose
appropriate treatment
Treatment
A, B, C -> 1x 8 Gy
D, E
-> 10x 3 Gy
Survival
at 6 months
(%)
Score
Type of primary tumor
Breast cancer
Prostate cancer
Myeloma/lymphoma
Lung cancer
Other tumors
78
66
85
25
40
8
7
9
3
4
Other bone metastases at the
time of RT
Yes
No
48
65
5
7
Visceral metastases at the time
of RT
Yes
No
17
80
2
8
Interval from tumor diagnosis to
MSCC
15 months
>15 months
41
71
4
7
Ambulatory status before RT
Ambulatory
Non-ambulatory
71
31
7
3
Time of developing motor
deficits before RT
1-7 days
8-14 days
>14 days
26
55
78
3
6
8
Rades et al. Cancer 2008, IJROBP 2011