How do you approach SRS for brain metastases in the presence of cranial hardware?
Do you modify your dose/fractionation if the target volume abuts surgically implanted hardware?
Answer from: Radiation Oncologist at Academic Institution
Cranial plates may be placed that could potentially affect the dosimetry of SRS. Specifically with Gamma Knife, although one can select planning (CC convolution) that could account for the high Z material of the cranial plate, it is felt that the 192 multidirectional beams of radiation wo...
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