Table 1. Bone metastases radiotherapy suggestions.
Clinical circumstances | Modality | Radiotherapy schedule | |
---|---|---|---|
total dose | fraction | ||
Painful uncomplicated bone metastases | 3D-CRT | 8 Gy | 1 |
SBRT | 15-24 Gy | 1 | |
18-36 Gy | 3-6 | ||
Pathologic fractures | 3D-CRT | 20 Gy | 5 |
30 Gy | 10 | ||
Spinal cord compression post decompressive surgery |
3D-CRT | ||
20 Gy | 5 | ||
______________________ | 30 Gy | 10 | |
alone | 8 Gy | 1 | |
Re-irradiation | 3D-CRT | 8 Gy | 1 |
SBRT* | 10-30 Gy | 1-5 |
*clinical trials
Abbreviations: 3D-CRT: three-dimensional conformal radiation therapy; SBRT: stereotactic body radiation