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What dose constraints would you use for the heart/pericardium when treating a sternal metastasis with five-fraction SBRT?

How does this differ in the de novo versus reirradiation setting?
1 Answer
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Radiation Oncology · Medical College of Wisconsin Affiliated Hospitals
Answered on

With the caveat that I would only treat a bone metastasis with SBRT in the setting of oligometastatic disease, I would use the constraints put forward by RTOG in the lung SBRT trials, which is a max dose of 105% (assuming 50Gy in 5) and get lower if possible, especially since there is low likelihood...

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