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Liver SBRT guidelines and toxicity
• Generally, doses 30-60 Gy in 1-6 fraction, tumor size about 6 cm, not more
than 5 mets
• RILD –rare, transient elevation liver ezymes
• No more than 700 cc uninvolved liver received 15 Gy in 3 fraction
(QUANTEC)
(Pan CC IJROBP 2010)
• Rib fracture, subcutaneous tissue damage, duodenal ulceration –very rare
JK 37/49