Would you offer hippocampal sparing whole brain radiation for patients with brain metastases due to ES-SCLC?

Until we have built-in auto-segmentation, I find the RTOG contouring atlas very helpful for manual contouring of the hippocampus.

I tend to use the lateral ventricle as my main landmark, and look for the circle of gray matter located medial to it. Once I've drawn a hippocampus, I'll look at it in th...

Thank you to theMednet for the opportunity to address this important question. This reply was generated in collaboration with Dr. @Dr. First Last and Dr. @Dr. First Last.

We would recommend hippocampal avoidance (HA) using IMRT during WBRT for patients with brain metastases from small cell lung cance...

I would love to use that, but I trained many eons ago, and don't feel confident that I can accurately delineate the hippocampus. I don't have neuroradiology available, and also don't have easy access to radiology for assistance.