Articles by E. Brian Butler, MD
Stereotactic Body Radiotherapy in the Management of Painful Bone Metastases
ByPavan Jhaveri, MD,Bin S. Teh, MD,Charles Bloch, PhD,Robert Amato, DO,E. Brian Butler, MD,Arnold C. Paulino, MD Bone metastases are a common feature of many solid cancers, especially those originating from the prostate, breast, lung, kidney, melanoma, and other sites. Up to 80% of patients with these cancers will develop painful bony disease during the course of their disease.
A conventional course of radiation for squamous cell carcinoma in the United States is generally 70 Gy in 7 weeks, with a once-daily dose of 1.8 to 2 Gy. This schedule has a modest success rate in curing head and neck cancer. The