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Do you include a dural CTV margin for intact brain metastases touching the dura when treating with SRS or fSRT?

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Mednet Member
Radiation Oncology · Lynn Cancer Institute - Baptist Health City, Baptist Health South Florida
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Typically, for definitive SRS cases, I have not included a significant CTV margin beyond the tumor in cases where there is dural contact. This is mainly considered in post-operative cases per the ISRS guidelines, where there is a known high risk of nodular meningeal/dural failures with initial surge...

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