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ESTRO IMRT Course May 2013

Single Dose vs. Fractionated Tolerance for Meningeoma

“Single doses of radiation required to treat benign meningioma optimally (13.5–16.5 Gy) clearly

exceed the estimated and reported clinical tolerance of the optic nerves and chiasm. The application

of equivalent biological doses in a small number of fractions continues to exceed optic tolerance until

at least 25 fractions are applied.”

Shrieve et al., J Neurosurg, 2004