Treatment Protocols

 

Assessment, Investigations and the Decision making process


Guidelines for Medical Decompressive Therapy


>>Intensity Modulated Radiotherapy (IMRT)


Stereotactic Irradiation (SRS and SRT)


Performance Scales

Follow-Up Policy

Primary Treatment Policies


Astrocytic Tumors (Gliomas)

Ependymomas

 

Tumors requiring Craniospinal Radiotherapy

 

Pituitary Tumors

Craniopharyngiomas

Meningiomas

Chordomas

Primary CNS Lymphomas

Spinal Tumors

 

Brain Metastasis


Intensity Modulated Radiotherapy (IMRT): Indications and Policies
 

Indications: Mainly for base of skull meningiomas, chordomas.

Rationale: To try to deliver higher doses to chordomas and atypical or malignant meningiomas 

Technical policies: To use rigid positioning device only. CT and MR fusion for tumour delineation. CTV and PTV are contoured as for individual sites.  Libraries for dose constraints for individual sites devised.

 

 

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