Should the hemorrhage be included in the volume when treating brain mets with SRS?
Answer from: Radiation Oncologist at Academic Institution
Having seen hemorrhage around brain metastases which later resolves, revealing uninvolved parenchyma, I do not include extralesional hemorrhage in the target volume when treating brain metastases with SRS. In patients for whom the edges of metastases are obfuscated by blood, I tend to favor wh...