Does periolesional edema influence dose prescriptin/fractionation for SRS brain mets?

Dear colleagues, I have an 80 years old patients known to have a lung adenocarcinoma since 2017, treated with systemic treatments and one course of brain SRS in 2017 with complete remission of the lesions. he presents with two solitary brain lesions one right frontal of 4mm another right post parietal of 26 mm with intralesional hemorrhage and important peri-lesional edema (no midline shift ), inoperable do you take in consideration the perilesional edema to decide for one Shot SRS or... Does periolesional edema influence dose prescriptin/fractionation for SRS brain mets?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums