What dose-fractionation would you utilize to treat an oligometastatic rib lesion for durable local control?
How would your recommendation change for a lesion within a non-radiated field versus a previously radiated field? What about an oligoprogressive lesion in a patient on systemic therapy with several other stable/responding metastases?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · University of Toronto
Answered on
Generally speaking - I tend to favor 35/5# for rib metastases, but as is the case with any oligometastasis scenario and SABR scenario the devil is in the details.
Things to consider -
1. Why is the lesion being treated, is it a solitary met? If so, could consider a higher dose like 40/5 with the ai...
Join for free or sign in to see the full answer