Table 2.
Localconsolidative radiation therapy doses for oligometastatic sites
Oligometastatic site | Location | Dose per fraction (Gy) | Fractions (n) | Total dose | Frequency |
Primary (if N0) and lung metastases |
Peripheral Central Ultra-central |
12 7.5 5 |
5 8 10 |
60 Gy 60 Gy 50 Gy |
Alternate day Daily/alternate Daily/alternate |
Bone | Spine Any other |
8–12 7 |
3–2 5 |
24 Gy 35 Gy |
Alternate day Daily/alternate |
Brain | Single 1–3 lesion |
18–24 18–24 or 5 |
1 1 or 10 |
18–24 18–24 or 50 |
Single Single/daily |
Adrenal | NA | 7–10 Gy | 5 | 35–50 Gy | Daily/alternate |
Liver | Any | 6–10 Gy | 5 | 30–50 Gy | Daily/alternate |