Carmelo Tuscano, Radiation Oncologist at Metropolitan Hospital in Reggio Calabria, shared a post on X:
“More than a review: a mini-treatise on spinal oncology.
Two crucial lessons for radiation oncologists:
- SBRT patient selection must be driven by SINS stability criteria.
- The thecal sac may represent a ‘natural PRV’ for spinal cord constraints.
Outstanding clinical insights!
We should stress the need to implement an intelligent strategy for spinal cord constraints, considering a safety structure that the Sunnybrook school identifies with the thecal sac – essentially a sort of natural PRV.”
Title: The transformative role of SBRT in the management of spinal metastases
Authors: K. Liang Zeng, Pejman Jabehdar Maralani, Michael Hardisty, Hanbo Chen, Jay Detsky, Deepak Dinakaran, Hany Soliman, Chia-Lin Tseng, Jeremie Larouche, Jetan Badhiwala, Elizabeth David, Katarzyna J. Jerzak, Amit Singnurkar, Chris Heyn, Cari Whyne, Mark Ruschin, Arjun Sahgal

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