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Should the hemorrhage be included in the volume when treating brain mets with SRS?

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Mednet Member
Radiation Oncology · Kaiser Permanente

Having seen hemorrhage around brain metastases which later resolves, revealing uninvolved parenchyma, I do not include extralesional hemorrhage in the target volume when treating brain metastases with SRS. In patients for whom the edges of metastases are obfuscated by blood, I tend to favor whole br...

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