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Do you routinely contour spinal nerves as avoidance structures for spine SBRT/SRS cases other than those for the brachial and lumbosacral plexuses?

Is this different for de novo or reirradiation cases? Would you recommend avoidance of the nerve roots if there is gross disease present in these areas?

Answer from: Radiation Oncologist at Academic Institution

In my practice, I do not typically contour spinal nerves as OARs other than those for brachial and lumbrosacral plexuses. Radiculopathy can occur but it is usually well tolerated and self-limiting. In my experience, the rate of persistent radiculopathy is very low.

Comments

Radiation Oncologist at Case Western Reserve University/ University Hospitals Seidman Cancer Center
I agree with @Simon S. Lo. When using 9 Gy x 3 or ...

Radiation Oncologist at University of Washington School of Medicine
I agree with @Daniel E. Spratt.

Please select the option that best describes you:

Do you routinely contour spinal nerves as avoidance structures for spine SBRT/SRS cases other than those for the brachial and lumbosacral plexuses?

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