A single centre, non-profit, randomised, unblinded pilot study on volume definition for spinal stereotactic body radiation therapy treatment.
Randomization will be 1:1 between two types of SBRT treatment for spinal metastases. The statistical unit will be the individual vertebral metastasis. Multiple metastases will be randomized and evaluated independently.
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Eligibility Criteria
Inclusion Criteria:
* Patients affected by spinal metastases eligible for SBRT
* All histologies are allowed
* Oligometastatic disease (maximum 5 metastases) in every setting (oligopersistent, oligorecurrent and oligoprogressive, according to ESTRO consensus)
* Metastases treated with ablative inte…
Inclusion Criteria:
* Patients affected by spinal metastases eligible for SBRT
* All histologies are allowed
* Oligometastatic disease (maximum 5 metastases) in every setting (oligopersistent, oligorecurrent and oligoprogressive, according to ESTRO consensus)
* Metastases treated with ablative intent
* Both symptomatic and asymptomatic vertebral metastases
* Spine Instability Neoplastic Score (SINS) score \< 7 \[18\]
* Age \> 18 years
* Life expectancy \> 12 months
* PS ECOG 0-1
* Vertebral pathological lesion on the diagnostic MRI
* Single active lesion on the target vertebra
* More lesions in different vertebrae can be simultaneously treated
* Informed consent to trial participation and personal data treatment
Exclusion Criteria:
* More than 2 adjoining vertebrae involved
* Palliative intent
* 2 or more lesions on the target vertebra
* Contraindications to MRI
* More than 5 metastases
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