For liver metastases, what criteria do you use to decide between SBRT vs Y90?
Is there a benefit of SBRT over Y90 or vice versa?
Answer from: Radiation Oncologist at Academic Institution
The treatment of choice is ablative SBRT as long as liver constraints can be met. Kras/p53 wildtype CRC mets can be controled with 70%+ certainty at 5 years with 100Ghy BED, but Kras/p53 mut CRC mets are resistant (Hong, et al, JNCI,2017). For this reason, I use a BED of 150Gy but a dose that overco...
Comments
Radiation Oncologist at Hoag Cancer Center Does the number of liver metastases affect your de...
Radiation Oncologist at Fox Chase Cancer Center I agree with Dr. @Christopher H. Crane's answer ab...
Does the number of liver metastases affect your de...
I agree with Dr. @Christopher H. Crane's answer ab...