The current health crisis caused by COVID-19 is a challenge for oncology treatment, especially when it comes to radiotherapy. Cancer patients are already known to be very fragile and COVID-19 brings about the risk of severe respiratory complications. In order to treat patients safely while protecting medical teams, the entire health care system must optimize the way it approaches prevention and treatment at a time when social distancing is key to stemming this pandemic. All indications and treatment modalities must be re-discussed. This is particularly the case for radiotherapy of bone metastases for which it is possible to reduce the number of sessions, the frequency of transport and the complexity of treatments. These changes will have to be discussed according to the organization of each radiotherapy department and the health situation, while medical teams must remain vigilant about the risks of complications of bone metastases, particularly spinal metastases. In this short piece, the members of the GEMO (the European Study Group of Bone Metastases) offer a number of recommendations to achieve the above objectives, both in general and in relation to five of the most common situations on radiation therapy for bone metastases.

当前由COVID-19引起的健康危机对肿瘤治疗提出了挑战，尤其是在放射治疗方面。已经知道癌症患者非常脆弱，COVID-19会带来严重的呼吸系统并发症的风险。为了在保护医疗团队的同时安全地治疗患者，整个社会医疗体系必须优化其预防和治疗的方式，而此时社会隔离是阻止这种大流行的关键。必须重新讨论所有适应症和治疗方式。对于骨转移瘤的放射治疗尤其如此，因为它可以减少疗程的次数，运输的频率和治疗的复杂性。必须根据每个放射治疗部门的组织和健康状况来讨论这些更改，同时医疗团队必须保持警惕骨转移，尤其是脊柱转移的并发症的风险。在这篇简短的文章中，GEMO（欧洲骨转移研究小组）的成员就实现上述目标提出了许多建议，包括总体上以及与骨转移的放射治疗最常见的五种情况有关的建议。