Patient Care and Research

ASTRO Guideline on Palliative Radiation Therapy for Bone Metastases - Update

Published: January 2017 (Web posted August 2016)

Read Guideline Update

This guideline update addresses the 8 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.

Key Points:

  • External beam radio therapy (EBRT)
  • Single- verses multiple-fraction radiation schedules
  • Repeat radiotherapy
  • Stereotactic body radiotherapy (considered but not recommended as primary treatment outside of clinical trials)

Resources:
 

Palliative Radiation and Supportive Oncology (CME)
ASTRO’s SBRT Model Policy
Patient Brochure

Previous/full guideline:

Palliative Radiotherapy for bone Metastases: An ASTRO Evidence-Based Guideline - 2011

We have recently updated our privacy policy and terms of use.
By using this site, you agree to ASTRO’s Privacy Policy and Terms of Use.
We use cookies to provide, secure and improve our services to you. To learn more, click here.