Radiat Oncol J.  2015 Mar;33(1):1-11. 10.3857/roj.2015.33.1.1.

Contemporary treatment with radiosurgery for spine metastasis and spinal cord compression in 2015

Affiliations
  • 1Department of Radiation Oncology, Stony Brook University, Stony Brook, NY, USA. samuel.ryu@stonybrookmedicine.edu
  • 2Department of Neurological Surgery, Stony Brook University, Stony Brook, NY, USA.

Abstract

With the progress of image-guided localization, body immobilization system, and computerized delivery of intensity-modulated radiation delivery, it became possible to perform spine radiosurgery. The next question is how to translate the high technology treatment to the clinical application. Clinical trials have been performed to demonstrate the feasibility of spine radiosurgery and efficacy of the treatment in the setting of spine metastasis, leading to the randomized trials by a cooperative group. Radiosurgery has also demonstrated its efficacy to decompress the spinal cord compression in selected group of patients. The experience indicates that spine radiosurgery has a potential to change the clinical practice in the management of spine metastasis and spinal cord compression.

Keyword

Radiosurgery; Spine metastasis; Stereotactic body radiation therapy (SBRT); Spinal cord compression

MeSH Terms

Humans
Immobilization
Neoplasm Metastasis*
Radiosurgery*
Spinal Cord Compression*
Spine*
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