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Table 1 Patient specific factors influencing indication for spine SBRT

From: Clinical practice of image-guided spine radiosurgery - results from an international research consortium

 

UHW

UPMC

UofT

UVAMC

RSMC

Use of a predictive scoring system for OS

Yes, Mizumoto Score

No

Life expectancy ≥ 3 months

Patients with widespread CNS and systemic disease are excluded

No

Histology of primary tumor

No treatment of highly radiosensitive histologies

Avoid relatively radiosensitive histologies

No myeloma unless previously radiated

No treatment of radiosensitive histologies

No relevant factor

Status of primary tumor

Yes, part of the Mizumoto Score

No relevant factor

Yes, for estimation of life expectancy

No relevant factor

No relevant factor

Presence of visceral metastases

Yes, part of the Mizumoto Score

No relevant factor

Yes, for estimation of life expectancy

Yes, see above

No relevant factor

Age

Yes, part of the Mizumoto Score

No relevant factor

No relevant factor

No relevant factor

No relevant factor

Performance status of patient

Yes, part of the Mizumoto Score

Exclusion of patients with extremely poor performance status

Must be able to tolerate immobilization for 45 min.

KPS should be ≥70

KPS must be ≥60

Comorbidities of patient

No relevant factor

No relevant factor

No relevant factor

No relevant factor

No relevant factor

Interval between primary tumor and spinal metastases

No relevant factor

No relevant factor

No relevant factor

No relevant factor

No relevant factor