Published: January 2017 (Web posted August 2016)
Read Guideline Update
This guideline update addresses the eight questions from the original bone metastases guideline published in 2011 based on new literature. The topics include: 1) effective fractionation schemes to treat pain and/or prevent morbidity from peripheral bone metastases; 2) appropriateness of RT for bone metastases involving the spine and other critical structures; 3) whether there are long-term side effect risks that should limit use of single fraction RT for bone metastases; 4) retreatment with radiation to both peripheral and 5) spinal bone metastases; 6) role of highly conformal RT in primary and 7) retreatment; and 8) whether surgery, radionuclide, bisphosphonates, or kyphoplasty/vertebroplasty obviate the role of RT in pain bone metastases.
Palliative Radiation and Supportive Oncology (CME)
ASTRO’s SBRT Model Policy
Palliative Radiotherapy for bone Metastases: An ASTRO Evidence-Based Guideline - 2011