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Would you consider SBRT for an intraocular/choroidal metastasis?
If so, what dose/fractionation and constraints would you recommend?
Answer from: Radiation Oncologist at Academic Institution
For solitary choroidal metastasis, I would recommend eye plaque brachytherapy using I-125 seeds with a dose of 4000 cGy at the apex in about 90 +/- hours. If the tumor is abutting or close to the optic disc, use a notched plaque instead.
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Answer from: Radiation Oncologist at Academic Institution
For those who are not eligible for eye plaque, there is a good body of literature supporting the use of SRS or HSRT for uveal melanoma. Kosydar et al., PMID 33208706
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Radiation Oncologist at Karmanos Cancer Institute - McLaren Proton Therapy Center
Proton therapy has a good track record for uveal m...
Proton therapy has a good track record for uveal m...