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Highly selective irradiation requires accurate target definition by high-resolution three-dimensional imaging. Co-registration of FDG-PET and high-resolution CT might be the imaging modality of choice. This choice might target radiation therapy precisely to the intra-osseous volume that is responsible for pain and to spare selectively healthy bone in the vicinity of the metastasis. This strategy could result in equal anti-pain efficacy as conventional large volume radiotherapy, but could allow bone remodeling and preservation of bone structural strength in the vicinity and could lead to reduced toxicity to neighboring organs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients undergoing imaging guided radiotherapy. | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Biological imaging guided antalgic radiotherapy | Procedure | Biological imaging guided antalgic radiotherapy is followed. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain assessment | t0 |
| Measure | Description | Time Frame |
|---|---|---|
| Acute toxicity | t0 | |
| Bone remodeling | t0 | |
| Resulting volumes of the targets and functional active areas |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Wilfried De Neve, MD, PhD | University Hospital, Ghent | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Ghent | Ghent | 9000 | Belgium |
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| Label | URL |
|---|---|
| Website of the University Hospital Ghent | View source |
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| t0 |
| Mismatch and/or overlap areas | t0 |