What dose constraints do you use when palliating pelvic structures in 5-10 fractions?
For example, when palliating rectal or gynecologic bleeding in 5 fractions?
What structures do you contour and what dose constraints do you utilize?
Answer from: Radiation Oncologist at Community Practice
Very much depends on the total dose being delivered.
If doing 20 in 5 or 30 in 10, I don't believe any structures in the pelvis are at risk for substantial toxicity, for acute or late.
If going higher, then utilizing SBRT/VMAT constraints for the pelvis is reasonable. Can use @Olusola Obayomi-Davi...