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Dutch consensus guideline 2014 on

brain metastases treatment

Volume

brainmet

PTV

Dose

PTV

In brainstem

(GTV=PTV)

after WBRT

PTV

After SRT

PTV

<1 cm3

1 x 24 Gy

1x 18Gy

1x 24Gy

18 Gy

1-10 cm3

1 x 20 Gy

1 x 18Gy

1x 21Gy

18 Gy

10-20 cm3

1 x 18 Gy

1 x 18Gy

1 x 18 Gy

18 Gy

20-65 cm3

*

1 x 15 Gy of 3 x 8 Gy

3 x 8 Gy

3 x 8 Gy

3 x 6 Gy