What factors do you consider when selecting dose/fractionation for whole brain radiotherapy?

Topics: Radiation Oncology • Neuro-Oncology

In which situations would you consider 37.5 Gy / 15 fx or 20 Gy / 5 fx over 30 Gy / 10 fx?

Answer from: Radiation Oncologist at Academic Institution

I assume this question is for brain metastases patients who are not eligible for hippocampal avoidance WBRT (ineligible criteria including but not limited to - mets 5 mm within either hippocampus, germ cell/small cell/lymphoma, leptomeningeal disease, etc.) - my default WBRT dose fractionation is 30...

Comments

Radiation Oncologist at Beckley Oncology Associates
I’m curious as to how successful you’v...

Radiation Oncologist at Columbia University Irving Medical Center
I haven’t had to repeat an MRI for thin-slic...

Radiation Oncologist at START Center for Cancer Care
In my experience too, standard diagnostic MRIs are...

Related Questions