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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

22 items

GI_ANAL_1-3P_HIGHDOSE_EBRT

Gastrointestinal - Anal canal, high dose treatment, standard planned (1-3 phases) ± chemo, IMRT, VMAT

Cancer Type: Gastrointestinal
Modality: EBRT
Dose (Gy):40-63
Fractionation: 10-35
Dose per Fraction(Gy):1.8-4
Apr 2020

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

Gastrointestinal - Esophagus, HDR, brachy

Cancer Type: Gastrointestinal
Modality: Brachy
Dose (Gy):12-25
Fractionation: 2-4
Dose per Fraction(Gy):5-8
Apr 2020

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_ESO_PRE_POST_OP

Gastrointestinal - Esophagus, preoperative/postoperative ± chemo ± postoperative boost, IMRT, VMAT, 3D conformal

Cancer Type: Gastrointestinal
Modality: EBRT
Dose (Gy):40-50.4±10
Fractionation: 20-28±5
Dose per Fraction(Gy):1.8-2
Apr 2020

GI_HDR_BRACHY

GI- Brachy (HDR)

Cancer Type: Gastrointestinal
Modality: Brachy
Dose (Gy):10-18
Fractionation: 1-3
Dose per Fraction(Gy):6-10
Apr 2020

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

GI_LIVER_HEPATCARC_HIGHDOSE

Gastrointestinal - Liver, hepatocellur carcinoma, high dose treatment, SBRT

Cancer Type: Gastrointestinal
Modality: SBRT
Dose (Gy):25-60
Fractionation: 3-6
Dose per Fraction(Gy):5-10
Apr 2020

GI_PANC_RES_LOCALADV

Gastrointestinal - Pancreas, locally advanced, resectable/borderline resectable (neoadjuvant/adjuvant) ± chemo, IMRT, VMAT, 3D conformal

Cancer Type: Gastrointestinal
Modality: EBRT
Dose (Gy):45-54
Fractionation: 25-30
Dose per Fraction(Gy):1.8-2
Apr 2020

GI_PANC_SBRT

Gastrointestinal - Pancreas, high dose treatment SBRT

Cancer Type: Gastrointestinal
Modality: SBRT
Dose (Gy):25-70
Fractionation: 3-15
Dose per Fraction(Gy):5-10
Apr 2020

GI_RECT_1-2P_HIGHDOSE

Gastrointestinal - Rectum, rectosigmoid junction, high dose treatment (1-2 phases) ± chemo, IMRT, VMAT, 3D conformal

Cancer Type: Gastrointestinal
Modality: EBRT
Dose (Gy):50-66
Fractionation: 10-33
Dose per Fraction(Gy):1.8-4
Apr 2020