Additional volumetric modulated arc therapy to vertebral metastases abutting the previously irradiated site
Introduction: Lung cancer
frequently causes metastases to the spine, especially to the thoracic
vertebrae, which sometimes compress the spinal cord and induce
irreversible palsy. Many patients suffering from metastatic spinal
tumors need to undergo repetitive radiotherapy. In such situations,
intensity-modulated radiotherapy including volumetric modulated arc
therapy can reduce the dose delivered to the spinal cord at the
junction.
Case Report: The authors describe a case of thoracic vertebral metastases from lung cancer treated with two courses of radiotherapy. In the second course, volumetric modulated arc therapy was adopted and a columnar-shaped planning target volume with a concave portion was configured.
Conclusion: The authors propose an approach aimed at realizing both junctional safety and the conformality of the spinal column, which may be an option for repetitive irradiation to heterochronic spinal metastases.
http://www.peertechz.com/Clinical-Case-Reports/GJMCCR-1-101.php
Case Report: The authors describe a case of thoracic vertebral metastases from lung cancer treated with two courses of radiotherapy. In the second course, volumetric modulated arc therapy was adopted and a columnar-shaped planning target volume with a concave portion was configured.
Conclusion: The authors propose an approach aimed at realizing both junctional safety and the conformality of the spinal column, which may be an option for repetitive irradiation to heterochronic spinal metastases.
http://www.peertechz.com/Clinical-Case-Reports/GJMCCR-1-101.php
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