What SRS dose/fraction scheme would you prescribe to a pituitary adenoma for a patient with dry-type macular degeneration?

Given the proximity of the optic chasm and risk of compromised hemianopsia, the lack of adequate central vision adds another layer of risk.

Answer from: Radiation Oncologist at Academic Institution

Here is my strategem after 25 years of practice:Tolerance for OP I accept: Single fraction(oxymoron) - 8 Gy 3 fractions - less than 18 Gy 5 fractions 23 Gy SO your prescription depends on :The capability of your SRS platform and target pathology. Gamma Knife More than 2 mm from Optic pathway...

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What SRS dose/fraction scheme would you prescribe to a pituitary adenoma for a patient with dry-type macular degeneration?

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