Brain

Eligibility

  • Brain metastases
  • 1–3 lesion
  • Small WHO grade 1 Meningioma
  • If known history of cancer:
    • Consider histology
    • Total tumor burden
    • Status of primary
    • Patient's life expectancy
    • Patient's performance status
    • Assessment of neurological symptoms regarding resectability
  • Females must confirm non–pregnant

Ineligibility

  • Brain stem involvement
  • Uncontrolled, progressive primary malignancy
  • Progressive extracranial metastatic disease
  • Small cell carcinoma
  • More than 3 metastases

Protocols

  • Imaging studies:
    • MRI
  • Simulation:
    • Mask
    • CT with and without contrast
  • Dose:
    • Small grade meningioma – 12–15Gy, single fraction
    • Metastases – 24Gy, 18Gy, 15Gy, as function of lesion size
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