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The Metastatic Spine Disease Multidisciplinary Working Group Algorithms |
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| Authors: | Adam N. Wallace Clifford G. Robinson Jeffrey Meyer Nam D. Tran Afshin Gangi Matthew R. Callstrom Samuel T. Chao Brian A. Van Tine Jonathan M. Morris Brian M. Bruel Jeremiah Long Robert D. Timmerman Jacob M. Buchowski Jack W. Jennings |
| Affiliation: | 1. Mallinckrodt Institute of Radiology;2. Department of Radiation Oncology;3. Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas, Texas, USA;4. Neurooncology Program, H. Lee Moffitt Cancer Center and Research Institute;5. Department of Neurosurgery, and;6. Department of Orthopedics, University of South Florida College of Medicine, Tampa, Florida, USA;7. Department of Interventional Radiology, University of Strasbourg School of Medicine, Strasbourg, France;8. Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA;9. Department of Radiation Oncology, Cleveland Clinic, Cleveland, Ohio, USA;10. Department of Internal Medicine, and;11. Department of Anesthesiology and Pain Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas, USA;12. Department of Orthopaedic Surgery, Washington University School of Medicine, Saint Louis, Missouri, USA |
| Abstract: | The Metastatic Spine Disease Multidisciplinary Working Group consists of medical and radiation oncologists, surgeons, and interventional radiologists from multiple comprehensive cancer centers who have developed evidence- and expert opinion-based algorithms for managing metastatic spine disease. The purpose of these algorithms is to facilitate interdisciplinary referrals by providing physicians with straightforward recommendations regarding the use of available treatment options, including emerging modalities such as stereotactic body radiation therapy and percutaneous tumor ablation. This consensus document details the evidence supporting the Working Group algorithms and includes illustrative cases to demonstrate how the algorithms may be applied.Implications for Practice:The Metastatic Spine Disease Multidisciplinary Working Group algorithms can facilitate interdisciplinary referrals by providing physicians with straightforward recommendations regarding available treatment options, including emerging modalities such as stereotactic body radiation therapy and percutaneous tumor ablation. |
| Keywords: | Spine Metastatic Radiotherapy Ablation techniques Vertebroplasty Kyphoplasty |