About this trial
The goal of this study is to determine whether fractionated Stereotactic radiosurgery (SRS) for spine metastases is associated with improved local tumor control compared to single-fraction SRS. Patients will be randomized to treatment with spine SRS using either 22 Gy in 1 fraction or 28 Gy in 2 fractions.
Eligibility criteria
Qualifiers
Histologically, cytologically, or radiographically confirmed diagnosis of metastatic cancer Age ≥ 18 years
Patients who have cervical, thoracic, or lumbar spine metastasis that need treatment.
Patients will have 1 to 3 separate spinal sites that require treatment.
Each spinal site to be treated on trial will span 1-2 contiguous vertebral levels
Disqualifiers
Prior or planned radiation off study within or overlapping with study treatment site
Inability to have either an MRI or a CT scan. Patients with pacemaker will be allowed to undergo CT instead of MRI
Pediatric patients (age <18 years old), pregnant women, and nursing patients will be excluded
Histology's of myeloma or lymphoma
Trial design
Treatments tested in this trial
- Single-fraction spine SRS
- Multi-fraction spine SRS