SBRT is increasingly utilized to treat painful spine metastases as a randomized trial showed superior pain relief with 24 Gy in 2 fractions compared to conventional treatment with 20 Gy in 5 fractions. Here is a thorough and helpful guideline from Cancer Care Ontario outlining technical requirements and practical guidance for planning and delivering spine SBRT. It focuses on personnel, technology requirements, simulation, and quality assurance. However, there isn’t much discussion in this manuscript of dosing or treatment planning details. | Sahgal, Pract Radiat Oncol 2023
