How do you approach liver SBRT in patients with hepatocellular carcinoma who aren't candidates for surgery or other interventional procedures when the overall liver volume is small making it difficult to achieve liver constraints?

Topics: Radiation Oncology • Gastrointestinal Cancers

Answer from: Radiation Oncologist at Academic Institution

These are tough situations. I have used proton and photons for HCC. In the situation you described, I would generally favor IMPT due to improved low dose distribution and keeping the parenchyma not treated to a minimum while still giving an ablative dose more comfortably. Although the mean liver dos...

Comments

Radiation Oncologist at Pikeville Medical Center
Thank you!

Radiation Oncologist at Toledo Clinic Inc.
Thank you.

Radiation Oncologist at Memorial Sloan-Kettering Cancer Center
Remember, the 5 fraction SBRT is an arbitrary trea...

Radiation Oncologist at University of Cincinnati College of Medicine
Agree with @Christopher H. Crane. I should also a...

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