New in practicalRO.

We sought to develop a systematic spine reirradiation planning protocol prioritizing patient safety and maximizing tumor dose delivery. Patients were presented at a Multidisciplinary Spine Oncology Tumor Board to confirm suspicion for recurrent or progressive malignancy and were evaluated in the clinic by the Department of Radiation Oncology and Neurosurgery. Suitable patients proceeded to computed tomography (CT)/magnetic resonance imaging scan simulation. A dedicated physics pathway was activated with the fusion of the magnetic resonance imaging scan and planned CT scan, verified independently by 2 physicists.