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For liver metastases, what criteria do you use to decide between SBRT vs Y90?

Is there a benefit of SBRT over Y90 or vice versa?
1 Answer
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Radiation Oncology · Memorial Sloan-Kettering Cancer Center
Answered on

The treatment of choice is ablative SBRT as long as liver constraints can be met. Kras/p53 wildtype CRC mets can be controled with 70%+ certainty at 5 years with 100Ghy BED, but Kras/p53 mut CRC mets are resistant (Hong, et al, JNCI,2017). For this reason, I use a BED of 150Gy but a dose that overco...

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