Brain Metastis - WHole Brain RT
Hi
Pl find below the details regarding my dad , he's 68 and has developed brain metastatis ,
Earlier he had 3 lessions , and the treatment was give as mentioned below.
Now that he has developed 3 more lessions and the docs are suggestiong that we should undergo whole brain Rt , eliminating the earlier lessions that were treated with GAMMA Knife as well as 3D CRT .
Pl suggest what should we do , as well whether it is safe , and what could be the complications ...
Treatment given at Vimhans Institute New Delhi - Gamma Knife
DOA :1/11/2006
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> DOO : 02/11/2006
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> DOD :03/11/2006
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> MRI ON DATE OF TREATEMENT OF gama Knife revealed 3 enhancing tumors in
> Right Frontal, Right Insular and left Occipital with tumor volume
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> 541.4mm, 2.3cm, & 205.7 MM respectively
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> Treatment given for GAMA Knife
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> Volume of the Rt frontal tumor was 541.4 cub mm and of rt insular
> tumor was 2.3 cc. 26 Gy was prescribed to the tumor periphery.
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> Both tumors were treated with generous margins and 100% of both tumors
> received 25Gy.
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> Maximum dose received by frontal tumor was 29.3 Gy, mean dose was 28.7
> Gy and minimum dose was 25.8 Gy.
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> Integral dose was 15.5 mJoules .
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> Maximum dose received by insular tumor was 41.7 Gy , mean dose was
> 40.2 Gy and minimum dose was 25.8 Gy.
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> Integral dose was 91.7mJoules.
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> 3.3 cc of the surrounding tissues received more than 25.Gy.
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> We delivered 2 shots using one 18mm Collimator and one 14mm
> Collimator. Maximum dose before normalization was 102.178 %. 60%
> isodose was treated
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> Treatment given at Rajive Gandhi cancer institute .
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> He received external beam radiotherapy to a dose of 42.99Gy/15frs
> @2.8Gy/fr by 3DCRT technique to the occipital lesion in the brain from
> 15.10.2006 to 1.1.2007
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