Table 1 Dose and fractionations by site
Tumor Location | Description | Total Dose (Gy) | Number of fractions | Dose per fraction (Gy) | Frequency |
|---|---|---|---|---|---|
Lung | Tumors 3 cm or less surrounded by lung parenchyma | 54 | 3 | 18 | Every second day |
Abutting chest wall or >3 cm | 55 | 5 | 11 | Every second day | |
Within 2 cm of mediastinum or brachial plexus | 60 | 8* | 7.5 | Every second day | |
Bone | Any bone except femur | 35 Gy | 5 | 7 | Daily |
Vertebral body: additional options | 16-20 Gy OR | 1 | 16-20 | Single dose | |
30 Gy | 3 | 10 | Every second day | ||
Brain Metastases | If whole brain treated, then simultaneous boost to each lesion | 40 Gy to metastases 20 Gy whole brain (optional) | 5 | 8 Gy to lesion 4 Gy WBRT | Daily |
Liver | LRCP site: Dose is based on calculated normal tissue probability of <5% | Â | Â | Â | Every second day |
Other sites | 45-60 | 3-8 | 7.5-15 | Every second day | |
Adrenal | Â | 60 Gy | 8 | 7.5 | Every second day |