SBRT vs. EBRT in treatment of painful spine metastases

New data on this topic — from a Phase II/III clinical trial — have just been presented at the virtual annual meeting of the American Society for Radiation Oncology (ASTRO). Basically, the data from this study by Sahgal et al. indicated that 24 Gy (in two 12 Gy doses) of stereotactic body radiation therapy (SBRT) was more effective in the elimination of spinal pain in patients with metastatic cancer as compared to 20 Gy (in five 4 Gy doses) of conventional, external beam radiation therapy (EBRT).

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Dose-escalated IGRT and spinal metastasis

The precision with which external beam radiation can be delivered to specific areas of the spine is recognized as being critical to the effectiveness and safety of this treatment for spinal cancer metastases, which are a common problem with progressive prostate cancer. … READ MORE …