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Updated: Jun 8, 2026

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Treatment of Liver Metastases Using an Internal Target Volume Method for Stereotactic Body Radiotherapy
Published on: May 8, 2018
Stereotactic body radiation therapy for spinal metastases
Joana Cardia Lopes1, Arturo Navarro, Josep María Solé
1Departamento de Radioterapia, Instituto Portugues de Oncología do Porto, Porto, Portugal.
Summary
Stereotactic Body Radiation Therapy (SBRT) offers excellent local control and pain relief for spinal metastases from rectal cancer. This SBRT approach appears safe and feasible for selected patients with limited metastatic disease.
Area of Science:
- Radiation Oncology
- Medical Physics
- Oncology
Background:
- Spinal metastases represent a significant clinical challenge, impacting patient quality of life and prognosis.
- Stereotactic Body Radiation Therapy (SBRT) is an advanced radiation technique delivering high doses to tumors with precision.
- Evaluating SBRT for spinal metastases requires careful consideration of clinical outcomes and physics parameters.
Observation:
- A case of spinal metastasis from rectal cancer treated with a single 18Gy dose of SBRT is presented.
- Physics aspects including treatment volume, tumor volume, marginal doses, and organ-at-risk doses were analyzed.
- Clinical and radiographic follow-up data were collected to assess treatment efficacy.
Findings:
- Excellent local control was achieved in the presented case.
- Significant pain relief was observed in the patient after one year of follow-up.
- The study indicates high efficacy of SBRT in managing spinal metastases.
Implications:
- SBRT demonstrates feasibility and safety for treating limited metastatic disease in the spine.
- This approach may offer a valuable therapeutic option for selected cancer patients with spinal involvement.
- Further research into SBRT for spinal metastases could refine treatment protocols and expand patient eligibility.

