Patterns of Failure and SRS Planning Volume Considerations for Patients with Metastatic Sarcoma
- Event: 8th International Conference of the Novalis Circle 2018
- Topic: Spine radiosurgery
- Year: 2018
Amol Ghia, MD, Director of Spine Stereotactic Radiosurgery at the University of Texas M.D. Anderson Cancer Center discusses patterns of failure and stereotactic radiosurgery (SRS) planning volume considerations for patients with metastatic sarcoma. He begins by giving an overview of spine stereotactic radiosurgery and his center’s prospective clinical trials to demonstrate 1 year local control. He then delves into patterns of failure for spine SRS, including adjacent at risk bone marrow within the vertebrae, and outlines planning considerations. To highlight, he includes case examples from his own practice, and concludes by providing strategies for optimizing local control in spine SRS, emphasizing that sarcoma metastases are at risk for marginal as well as distant spinal failure.
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