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Spine Re-RT

SBRT

Re-irradiation - Spine Re-irradiation SBRT

Dose Oracle
24 Gy / 2 fx(12 Gy/fx)BED₁₀ = 52.8 Gy• 2-fraction re-irradiation
PREFERRED20 Gy / 5 fx(4 Gy/fx)BED₁₀ = 28.0 Gy• Conservative 5-fraction
25 Gy / 5 fx(5 Gy/fx)BED₁₀ = 37.5 Gy• Moderate 5-fraction re-RT

Indication

Previously irradiated spine with recurrent or progressive disease

Eligibility Criteria

  • Prior conventional RT or SBRT to spine
  • Minimum 6 months since prior RT (ideally >12 months)
  • Local recurrence or progression
  • No myelopathy from prior treatment
  • KPS ≥50

Staging

Recurrent metastatic disease

Tags

SBRTSpineRe-irradiationSalvageRecurrence