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What constraints do you use for the normal brain when treating large CNS tumors with standard fractionation?

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Mednet Member
Mednet Member
Radiation Oncology · Florida International University

With photon therapy, we use guidance (not absolute), using the following principles, when using 1.8 to 2 Gy per fraction:

 Lenses max dose 7-10Gy

 Optic Chiasm and optic nerves max dose < 60Gy without chemotherapy and 56Gy with chemotherapy.

 Retina max dose < 50Gy without chemotherapy and 45Gy...

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