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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,

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Presentation on theme: "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,"— Presentation transcript:

1 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 (March 2008) DOI: /j.jpainsymman Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

2 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  , DOI: ( /j.jpainsymman ) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

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

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

5 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  , DOI: ( /j.jpainsymman ) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions


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