Do you use more stringent liver constraints when treating HCC with SBRT in patients who are CP B8/9 or C?
For example, will you lower the prescribed dose to achieve a lower mean liver dose?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · University of Nebraska Medical Center
Answered on
CP C patients are typically excluded from SBRT studies due to unacceptably high toxicity risks. In my practice, I do not offer SBRT to CP C patients. For those with CP B8 or B9 cirrhosis, I aim to spare at least 700 cc of uninvolved liver from receiving 15 Gy or more when delivering 5-fraction SBRT....
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