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Guidelines & Advice
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Protocols – Radiation Treatment

The following list provides an overview of evidence-based protocols for radiation treatment that are approved for use in Ontario.

For reporting purposes, use the list of active radiation treatment protocols available in the Data Book.

To review recent changes to the radiation treatment protocols, download the Summary of Radiation Treatment Protocol Changes.

To submit a new protocol for review, see Request a New or Modified Protocol.

Radiation QBP

57 items

BREAST_FULL_SHORT_COURSE

Breast- Chest Wall/Breast tangent + nodal RT short Course

Cancer Type: Breast
Modality: EBRT
Dose (Gy):8-30
Fractionation: 1-10
Dose per Fraction(Gy):3-8
Feb 2021

BREAST_SHORT_COURSE

Breast- Chest Wall/Breast tangent Short Course

Cancer Type:
Modality: EBRT
Dose (Gy):8-30
Fractionation: 1-10
Dose per Fraction(Gy):3-8
Feb 2021

CNS_BRAI_RETX_SRS_FX

CNS- Glioma retreatment fractionated SRS

Cancer Type: Central Nervous System
Modality: SRS
Dose (Gy):25-35
Fractionation: 5
Dose per Fraction(Gy):5-7
Jun 2021

CNS_CHOND_BASE_SKULL

CNS- Chondrosarcoma (base of skull)

Cancer Type: Sarcoma (CNS)
Modality: EBRT
Dose (Gy):70
Fractionation: 35
Dose per Fraction(Gy):2
Aug 2021

CNS_CHOND_RESC_UNRESC

CNS - Chondrosarcoma unresectable

Cancer Type: Sarcoma (CNS)
Modality: EBRT
Dose (Gy):70-78
Fractionation: 35-39
Dose per Fraction(Gy):2
Jul 2021

CNS_FUNCTIONALPTL_SRS

Non-Neoplastic- CNS-Functional protocol SRS

Cancer Type: Non-Neoplastic (CNS)
Modality: SRS
Dose (Gy):60-150
Fractionation: 1
Dose per Fraction(Gy):60-150
Feb 2021

CNS_MENINGIOMA_GR2-3_2P_IMRT

CNS- Grades 2-3 meningioma 1-2 Phase

Cancer Type: Central Nervous System
Modality: EBRT
Dose (Gy):54-70
Fractionation: 30-40
Dose per Fraction(Gy):1.8-2
Apr 2021

ENDO_PINEAL_EBRT

CNS Pineal- EBRT

Cancer Type: Endocrine (CNS)
Modality: EBRT
Dose (Gy):36-60
Fractionation: 18-38
Dose per Fraction(Gy):1.8-2
Apr 2021

GI_ESO_2P_HIGHDOSE

Gastrointestinal - Esophagus, high dose treatment ± chemo ± boost (no surgery) IMRT, VMAT, 3D conformal

Cancer Type: Gastrointestinal
Modality: EBRT
Dose (Gy):46-50.4±10
Fractionation: 18-28±5
Dose per Fraction(Gy):1.8-2.5
Feb 2021

GI_ESO_HDR_BRACHY_BOOST

Gastrointestinal - Esophagus, HDR, brachy boost (following EBRT)

Cancer Type: Gastrointestinal
Modality: Brachy
Dose (Gy):6-10
Fractionation: 1-3
Dose per Fraction(Gy):6-10
Feb 2021

GI_ESO_HIGHDOSE_EBRT

Gastrointestinal - Esophagus, high dose EBRT +/- chemo (no surgery)

Cancer Type: Gastrointestinal
Modality: EBRT
Dose (Gy):46-60
Fractionation: 23-30
Dose per Fraction(Gy):1.8-2.5
Apr 2021

GI_HYPO_SBRT

GI- External beam, SBRT

Cancer Type: Gastrointestinal
Modality: SBRT
Dose (Gy):5-60
Fractionation: 1-6
Dose per Fraction(Gy):5-10
Apr 2021