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How do you approach delivery of WBRT in the setting of SRS-induced radionecrosis?

Would you deliberately spare the area of necrosis in your WBRT treatment plan?
1 Answer
Mednet Member
Mednet Member
Radiation Oncology · Karmanos Cancer Institute - McLaren Proton Therapy Center
Answered on

If possible, I try to avoid whole brain radiation therapy in patients with radionecrosis, as well as for most brain metastasis patients in general. Depending on the volume of other brain lesions to be treated, I find a hypofractionated stereotactic approach is generally more successful (90%+ local c...

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