Re-irradiation of metastatic spinal cord compression: A feasibility study by volumetric-modulated arc radiotherapy for in-field recurrence creating a dosimetric hole on the central canal

Pietro Mancosu, Piera Navarria, Mario Bignardi, Luca Cozzi, Antonella Fogliata, Paola Lattuada, Armando Santoro, Gaetano Urso, Sabrina Vigorito, Marta Scorsetti

Research output: Contribution to journalArticlepeer-review

Abstract

When local recurrences arise within an irradiated region involving metastatic spinal cord compression, the dose limit to the spinal cord reduces the chance to re-treat the patient by 3D-conformational RT technique. The possibility of using volumetric modulated arc RT by RapidArc was evaluated for dose sparing at spinal cord level and preserving target coverage. A clinically satisfactory PTV coverage and dose sparing to the spinal cord were obtained. An upcoming trial on patients will provide clinical outcomes.

Original languageEnglish
Pages (from-to)67-70
Number of pages4
JournalRadiotherapy and Oncology
Volume94
Issue number1
DOIs
Publication statusPublished - Jan 2010

Keywords

  • Metastatic spinal cord compression-MSCC
  • Radiotherapy
  • RapidArc
  • Re-irradiation
  • Volumetric modulated arc therapy

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Hematology

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