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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

15 items

CNS_BRAI_GLIOMA

CNS- Glioma/high grade retreatment

Cancer Type: Central Nervous System
Modality: EBRT
Dose (Gy):45-60
Fractionation: 25-33
Dose per Fraction(Gy):1.8-2
Apr 2020

CNS_BRAI_HIGH_GRADE_SC

CNS- High grade glioma (short course)

Cancer Type: Central Nervous System
Modality: EBRT
Dose (Gy):20-40
Fractionation: 5-15
Dose per Fraction(Gy):2.67-4
Jan 2022

CNS_BRAI_RETX_SRS

CNS- Glioma retreatment- single SRS

Cancer Type: Central Nervous System
Modality: SRS
Dose (Gy):10-20
Fractionation: 1
Dose per Fraction(Gy):10-20
Apr 2020

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_EPENDYMOMA_CSI_2P_CRANSPI_GER

CNS-Ependymoma CSI craniospinal germinoma

Cancer Type: Central Nervous System
Modality: EBRT
Dose (Gy):18-24+12-21
Fractionation: 12-16+8-14
Dose per Fraction(Gy):1.5
Apr 2020

CNS_EPENDYMOMA_CSI_2P_CRANSPI_NONGER

CNS- Ependymoma CSI craniospinal non-germinoma

Cancer Type: Central Nervous System
Modality: EBRT
Dose (Gy):36+18
Fractionation: 20+10
Dose per Fraction(Gy):1.8
Apr 2020

CNS_EPENDYMOMA_LIMITED_BRAIN

CNS- Ependymoma limited brain high grade

Cancer Type: Central Nervous System
Modality: EBRT
Dose (Gy):54-59.4
Fractionation: 27-33
Dose per Fraction(Gy):1.8-2
Apr 2020

CNS_EPENDYMOMA_LIMITED_SPINE

CNS- Ependymoma limited spine

Cancer Type: Central Nervous System
Modality: EBRT
Dose (Gy):54-59.4
Fractionation: 30
Dose per Fraction(Gy):1.8-2
Apr 2020

CNS_MEDULLO_2-3P_IMRT

CNS- Medulloblastoma IMRT + boost (2-3 phase)

Cancer Type: Central Nervous System
Modality: EBRT
Dose (Gy):23.4-36(CSI)+30.6-36
Fractionation: 13-20+9-14
Dose per Fraction(Gy):1.8-2
Apr 2020

CNS_MENINGIOMA_GR1_EBRT

CNS-Grade 1 meningioma external beam

Cancer Type: Central Nervous System
Modality: EBRT
Dose (Gy):50-54
Fractionation: 25-30
Dose per Fraction(Gy):1.8-2
Apr 2020

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

CNS_MENINGIOMA_SRS

CNS- Meningioma SRS

Cancer Type: Central Nervous System
Modality: SRS
Dose (Gy):12-30
Fractionation: 1-5
Dose per Fraction(Gy):6-15
Apr 2020