Advances in the management of spinal metastases: what the radiologist needs to know

Author:

Bahouth Sarah M1,Yeboa Debra N2,Ghia Amol J2,Tatsui Claudio E3,Alvarez-Breckenridge Christopher A3,Beckham Thomas H2,Bishop Andrew J2,Li Jing2,McAleer Mary Frances2,North Robert Y3,Rhines Laurence D3,Swanson Todd A2,Chenyang Wang2,Amini Behrang4ORCID

Affiliation:

1. Musculoskeletal Imaging and Intervention Department, Brigham and Women’s Hospital, Boston, United States

2. Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States

3. Department of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX, United States

4. Department of Musculoskeletal Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX, United States

Abstract

Spine is the most frequently involved site of osseous metastases. With improved disease-specific survival in patients with Stage IV cancer, durability of local disease control has become an important goal for treatment of spinal metastases. Herein, we review the multidisciplinary management of spine metastases, including conventional external beam radiation therapy, spine stereotactic radiosurgery, and minimally invasive and open surgical treatment options. We also present a simplified framework for management of spinal metastases used at The University of Texas MD Anderson Cancer Center, focusing on the important decision points where the radiologist can contribute.

Publisher

British Institute of Radiology

Subject

Radiology, Nuclear Medicine and imaging,General Medicine

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