Spine

Eligibility

  • Life expectancy of more than six (6) months
  • Non–surgical candidate 18 years of age and older
  • Patient condition satisfies simulation and treatment requirements for reproducibility
  • Females must confirm non–pregnant
  • Well–defined tumor involving no more than two (2) adjacent vertebral levels or spinal segments
  • Surgical assessment regarding respectability

Ineligibility

  • Spine fracture in the target area
  • Pain is only related to spinal instability
  • Radpidly progressing spinal cord compression
  • Paralysis
  • Recent onset of neurological deficit secondary to spinal cord compression
  • Uncontrolled malignancy involving soft tissue

Protocols

  • Imaging studies:
    • CT, Myelogram, or MRI depending on hardware
  • Simulation
    • Body fix bag, arms down, Memory foam (optional)
  • Dose:
    • Benign extradural tumors:
      • 12–16Gy in 1 fraction; 21–27Gy in 3 fractions; 25–30Gy in 5 fractions
    • Vertebral and/or paraspinal metastases:
      • 14–25Gy in 1 fraction; 21–27Gy in 3 fractions; 25–30Gy in 5 fractions
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