Pain Control by Image-Guided Radiosurgery for Solitary Spinal Metastasis  Samuel Ryu, MD, Ryan Jin, MD, Jian-Yue Jin, PhD, Qing Chen, PhD, Jack Rock, MD,

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Pain Control by Image-Guided Radiosurgery for Solitary Spinal Metastasis  Samuel Ryu, MD, Ryan Jin, MD, Jian-Yue Jin, PhD, Qing Chen, PhD, Jack Rock, MD, Joseph Anderson, MD, Benjamin Movsas, MD  Journal of Pain and Symptom Management  Volume 35, Issue 3, Pages 292-298 (March 2008) DOI: 10.1016/j.jpainsymman.2007.04.020 Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 1 A typical example of radiosurgery. The treatment target volume includes the entire vertebral body of the involved spine and any soft tissue component of the tumor. The radiosurgery dose was 10–16Gy prescribed to 90% isodose line. Journal of Pain and Symptom Management 2008 35, 292-298DOI: (10.1016/j.jpainsymman.2007.04.020) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 2 Pattern of pain control before and after radiosurgery. Journal of Pain and Symptom Management 2008 35, 292-298DOI: (10.1016/j.jpainsymman.2007.04.020) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 3 Duration of pain relief after radiosurgery. Journal of Pain and Symptom Management 2008 35, 292-298DOI: (10.1016/j.jpainsymman.2007.04.020) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 4 (a) MRI of a patient with metastatic neuroendocrine tumor with paraspinal mass (arrowhead) and epidural spinal cord compression (arrow). This was treated with 16Gy radiosurgery. The patient had a complete pain relief and neurologic recovery. (b) Follow-up MRI at 8 months after radiosurgery showed near-complete tumor control. Journal of Pain and Symptom Management 2008 35, 292-298DOI: (10.1016/j.jpainsymman.2007.04.020) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions