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Waltenberger, M.* ; Vogel, M.M.E.* ; Bernhardt, D.* ; Münch, S.* ; Dobiasch, S. ; Redmond, K.J.* ; Lo, S.S.* ; Acker, G.* ; Fehlings, M.G.* ; Ringel, F.* ; Vajkoczy, P.* ; Meyer, B.* ; Combs, S.E.

Radiotherapy concepts for spinal metastases-results from an online survey among radiation oncologists of the German Society for Radiation Oncology.

Strahlenther. Onkol. 200, 159-174 (2023)
DOI PMC
Creative Commons Lizenzvertrag
PURPOSE: Spinal metastases (SM) are a common radiotherapy (RT) indication. There is limited level I data to drive decision making regarding dose regimen (DR) and target volume definition (TVD). We aim to depict the patterns of care for RT of SM among German Society for Radiation Oncology (DEGRO) members. METHODS: An online survey on conventional RT and Stereotactic Body Radiation Therapy (SBRT) for SM, distributed via e‑mail to all DEGRO members, was completed by 80 radiation oncologists between February 24 and April 29, 2022. Participation was voluntary and anonymous. RESULTS: A variety of DR was frequently used for conventional RT (primary: n = 15, adjuvant: n = 14). 30 Gy/10 fractions was reported most frequently. TVD in adjuvant RT was heterogenous, with a trend towards larger volumes. SBRT was offered in 65% (primary) and 21% (adjuvant) of participants' institutions. A variety of DR was reported (primary: n = 40, adjuvant: n = 27), most commonly 27 Gy/3 fractions and 30 Gy/5 fractions. 59% followed International Consensus Guidelines (ICG) for TVD. CONCLUSION: We provide a representative depiction of RT practice for SM among DEGRO members. DR and TVD are heterogeneous. SBRT is not comprehensively practiced, especially in the adjuvant setting. Further research is needed to provide a solid data basis for detailed recommendations.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Online Survey ; Palliation ; Patterns Of Care ; Radiotherapy ; Sbrt ; Spinal Metastases
ISSN (print) / ISBN 0179-7158
e-ISSN 1439-099X
Journal Strahlentherapie und Onkologie : Journal of Radiation Oncology, Biology, Physics
Quellenangaben Volume: 200, Issue: 2, Pages: 159-174 Article Number: , Supplement: ,
Publisher Urban & Vogel
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Institute of Radiation Medicine (IRM)