Overview
Neoplasms of the lumbar vertebral column, particularly metastases, are increasingly encountered due to improved survival in cancer patients. Treatment aims are shifting from short-term palliation to long-term symptom or disease control 1.Diagnosis
Selection of appropriate patients with painful spine metastases and oligometastatic disease is recommended for stereotactic body radiotherapy (SBRT) 1.Management
Stereotactic body radiotherapy (SBRT) is a treatment option for spine metastases 1.
Technical planning aspects for spinal SBRT include dose and fractionation, patient positioning, immobilization, and image-guided delivery 1.
Quality assurance protocols are recommended for spinal SBRT 1.Key Recommendations
SBRT is indicated for the treatment of painful spine metastases and oligometastatic disease 1. (Evidence: Expert opinion)
Technical planning for spinal SBRT should address dose and fractionation, patient positioning, immobilization, and image-guided delivery 1. (Evidence: Expert opinion)
Quality assurance protocols are necessary for the delivery of spinal SBRT 1. (Evidence: Expert opinion)References
1 Guckenberger M, Andratschke N, Belka C, Bellut D, Cuccia F, Dahele M et al.. ESTRO clinical practice guideline: Stereotactic body radiotherapy for spine metastases. Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology 2024. link