How do you approach treatment of brainstem metastases in the setting of prior WBRT?
What dose/fractionation do you prefer for small vs large metastases?
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In how many sessions do you feel comfortable delivering SRS to a brainstem metastasis?
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1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Roswell Park Comprehensive Cancer Center
Answered on
Depending on the proximity of the WBRT the answer differs. If WBRT is more than 6 months prior I do not alter my prescription.
For more immediate WBRT - say as a post WBRT boost I keep the dose low to a conformal plan. 8-10 Gy single session and 15-18 in three fractions.
For our brainstem mets results...
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