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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