Simplifying Bone Mets

Bone radiotherapy (RT) is a foundation of the discipline and represents a significant portion of many practices. The standard protocols for palliative RT (8Gy x 1, 4Gy x 5, etc.) were pioneered almost 50 years ago, when systemic therapies were far less useful. Still many American radiation oncologists use more prolonged courses despite significant evidence supporting briefer courses. Our technology has made image guidance and large doses per fraction very common. This panel frankly discusses where data for this practice exist for symptomatic (and asymptomatic) bone lesions, and where they do not.

Topics:

  1. Post-Operative Radiotherapy for Bone Metastases
    Emily Keit, MD
  2. Complicated Bone Metastases
    Shing Fung Lee, MBBS, FRCR
  3. Asymptomatic Bone Metastases and Other Considerations
    Peter Hoskin, MD, FRCP, FACR, FRCR, FFRRCSI
  4. Q and A
    Stephen Thomas Lutz, MD, FASTRO - Moderator
    Full Panel

This activity is available from May 27, 2025, through 11:59 p.m. Eastern time on May 26, 2027. 

The content was originally presented and recorded at the 2024 ASTRO Annual Meeting.

Target Audience

The activity is designed to meet the interests of radiation oncologists, physicists, residents and orthopedists.

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Identify the multiple areas where clinical trial data exist on palliative bone irradiation.
  • Explain the nuances to be considered in irradiation of symptomatic bone lesions.
Course summary
Available credit: 
  • 1.25 AMA PRA Category 1 Credit™

    The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council for Continuing Medical Education for physicians. ASTRO designates this Enduring material for a maximum of 1.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 1.25 Certificate of Attendance
    This activity was designated for 1.25 AMA PRA Category 1 Credit™.
Course opens: 
05/27/2025
Course expires: 
05/26/2027
Cost:
$149.00
Rating: 
0
  • Stephen Thomas Lutz, MD, FASTRO, is employed by Blanchard Valley Health System and University of Michigan.  
  • Emily Keit, MD, is employed by H. Lee Moffitt Cancer Center and Research Institute and University of South Florida.  
  • Shing Fung Lee, MBBS, FRCR, is employed by National University Cancer Institute, National University Hospital. 
  • Peter Hoskin, MD, FRCP, FRCR, FACR, FFRRCSI, is employed by University of Manchester and East & North Herts NHS Trust. Dr. Hoskin receives travel expenses as a speaker from ASTRO (2023 Annual Meeting) and GU ASCO (2024 Annual Meeting). Dr. Hoskin serves in an uncompensated role as clinical director for East of England Cancer Alliance. 

The person(s) above served as the developer(s) of this activity. Additionally, the ASTRO Education Committee had control over the content of this activity. All relevant financial relationships have been mitigated.

Disclosure link: 
ASTRO Education Committee

The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Available Credit

  • 1.25 AMA PRA Category 1 Credit™

    The American Society for Radiation Oncology (ASTRO) is accredited by the Accreditation Council for Continuing Medical Education for physicians. ASTRO designates this Enduring material for a maximum of 1.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 1.25 Certificate of Attendance
    This activity was designated for 1.25 AMA PRA Category 1 Credit™.

Price

Cost:
$149.00
Please login or register to take this course.

Course Fees:
ASTRO members must log in to the ASTRO website to view and receive the member rate.

  • Nonmember: $149
  • Member: $99
  • Member-in-Training: $49
  • Student/Graduate Student/PGY-1 Member: $49
  • Postdoctoral Fellow Member: $49

If you are an ASTRO member from a low or lower-middle income country, as identified by the World Bank, you can receive a 50% discount off your corresponding registration for this activity. Please email [email protected] to inquire about the discount.

Policies:
No refunds, extensions, or substitutions will be made for those participants who, for any reason, have not completed the activity by the expiration date. 

Participants using ASTRO Academy activities to satisfy the requirement of a Continuing Certification (MOC) program should verify the credit number and type and availability dates of any activity before making a purchase. No refunds, extensions, or substitutions will be made for participants who have purchased activities that do not align with their MOC requirement.

The activity and its materials will only be available on the ASTRO website until May 26, 2027, regardless of purchase date. At the expiration of the activity, participants will no longer have access to the activity or its materials. ASTRO reserves the right to remove an activity before its expiration date. 

Required Hardware/software

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