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Post to Intracranial Metastasis

 
 
Teaching case (fictional): ten lesions, largest 14 mm, smallest 3 mm. Single-isocentre dynamic conformal arcs, total treatment time under 20 minutes. I'd like feedback on the low-dose spill between the two frontal lesions.

For patients with more than twelve small metastases, do you still go for SRS with hippocampal sparing or move to whole brain? Interested in how you decide and what you tell patients.