Source:http://linkedlifedata.com/resource/pubmed/id/20171517
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3 Suppl
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pubmed:dateCreated |
2010-2-22
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pubmed:abstractText |
Dose-volume data for myelopathy in humans treated with radiotherapy (RT) to the spine is reviewed, along with pertinent preclinical data. Using conventional fractionation of 1.8-2 Gy/fraction to the full-thickness cord, the estimated risk of myelopathy is <1% and <10% at 54 Gy and 61 Gy, respectively, with a calculated strong dependence on dose/fraction (alpha/beta = 0.87 Gy.) Reirradiation data in animals and humans suggest partial repair of RT-induced subclinical damage becoming evident about 6 months post-RT and increasing over the next 2 years. Reports of myelopathy from stereotactic radiosurgery to spinal lesions appear rare (<1%) when the maximum spinal cord dose is limited to the equivalent of 13 Gy in a single fraction or 20 Gy in three fractions. However, long-term data are insufficient to calculate a dose-volume relationship for myelopathy when the partial cord is treated with a hypofractionated regimen.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
1879-355X
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pubmed:author | |
pubmed:copyrightInfo |
Copyright 2010 Elsevier Inc. All rights reserved.
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pubmed:issnType |
Electronic
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pubmed:day |
1
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pubmed:volume |
76
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
S42-9
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pubmed:meshHeading |
pubmed-meshheading:20171517-Age Factors,
pubmed-meshheading:20171517-Animals,
pubmed-meshheading:20171517-Dose-Response Relationship, Radiation,
pubmed-meshheading:20171517-Humans,
pubmed-meshheading:20171517-Radiation Injuries,
pubmed-meshheading:20171517-Radiation Tolerance,
pubmed-meshheading:20171517-Radiosurgery,
pubmed-meshheading:20171517-Radiotherapy,
pubmed-meshheading:20171517-Rats,
pubmed-meshheading:20171517-Retreatment,
pubmed-meshheading:20171517-Spinal Cord
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pubmed:year |
2010
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pubmed:articleTitle |
Radiation dose-volume effects in the spinal cord.
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pubmed:affiliation |
Department of Radiation Oncology, Duke University Medical Center, Durham, NC 27710, USA. jkirk@radonc.duke.edu
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pubmed:publicationType |
Journal Article,
Review,
Research Support, Non-U.S. Gov't,
Meta-Analysis
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