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Radiation Oncology • Palliation
Do you use any particular dose constraints in patients receiving whole-brain radiation in the setting of prior SRS?
Does the previous dose of SRS or the fact the patient had prior surgery matter when planning WBRT?
Answer from: Radiation Oncologist at Academic Institution
If a patient remains a candidate, I prefer to offer hippocampal sparing WBRT whenever possible, respecting the hippocampal constraints outlined in RTOG 0933 (Hippocampus D100% <= 9Gy; dmax <16Gy).In terms of other dose constraints, I don't typically enforce any constraints that would impact th...
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