Postoperative Stereotactic Body Radiation Therapy, Then Observe

This patient presented with high-grade epidural disease (Bilsky grade 2 and 3) and underwent urgent surgical decompression with subsequent downgrading of epidural disease on imaging.1 Postoperative spine stereotactic body radiation therapy (SBRT) experience has shown that a postoperative epidural Bilsky grade of 0 or 1 is a significant predictor of local control.2 In the absence of biomarkers or next-generation molecular diagnostics we cannot determine with certainty which patients with oligometastatic disease will benefit from metastasis-directed treatment with SBRT.

Source: International Journal of Radiation Oncology * Biology * Physics - January 7, 2021 Category: Radiology Authors: Emma M. Dunne, Mitchell Liu Tags: Gray Zone Source Type: research