156 / 1224
/
• Conventional radiotherapy = Short term palliation
Patients with better OS will develop pain recurrence
Palliative RT
Pain response
Duration
Prince
1986
1 x 8Gy
10 x 3Gy
73%
64%
59% @ 3 mo
50% @ 3 mo
Gaze
1997
1 x 10Gy
5 x 4.5Gy
84%
89%
Median 3.5 mo
Median 3.5 mo
Steenland
1999
1 x 8Gy
6 x 4Gy
72%
69%
Median 5 mo
Median 6 mo
Roos
2005
1 x 8Gy
5 x 4Gy
61%
53%
Median 3.5mo
Median 5.5 mo
Painful bone / vertebral metastases
ESTRO SBRT COURSE 2016 - Matthias Guckenberger
24