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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

21 items

SKIN_ELEC_RAD/ADJ_1-5

Skin - Node negative squamous & basal (non-melanoma)- electron (radical/adjuvant) 1-5 fractions

Cancer Type: Skin
Modality: EBRT
Dose (Gy):18-38.5
Fractionation: 1-5
Dose per Fraction(Gy):7-18
Apr 2020

SKIN_ELEC_RAD/ADJ_10-15

Skin - Node negative squamous & basal (non-melanoma) -electron (radical/adjuvant) 10-15 fractions

Cancer Type: Skin
Modality: EBRT
Dose (Gy):40-50
Fractionation: 10-15
Dose per Fraction(Gy):3.33-4.95
Apr 2020

SKIN_ELEC_RAD/ADJ_20-25

Skin - Node negative squamous & basal (non-melanoma)- electron (radical/adjuvant) 20-25 fractions

Cancer Type: Skin
Modality: EBRT
Dose (Gy):50-60.5
Fractionation: 20-25
Dose per Fraction(Gy):2-3
Apr 2020

SKIN_ELEC_RAD/ADJ_30-35

Skin - Node negative squamous- electron (radical/adjuvant) 30-35 fractions

Cancer Type: Skin
Modality: EBRT
Dose (Gy):60-77
Fractionation: 30-35
Dose per Fraction(Gy):2-2.2
Apr 2020

SKIN_MEL_ADJ_EBRT

Skin - Melanoma- adjuvant- MV photon –VMAT/IMRT (3DCRT)/electron

Cancer Type: Skin
Modality: EBRT
Dose (Gy):48-66
Fractionation: 20-33
Dose per Fraction(Gy):2-2.4
Apr 2020

SKIN_MEL_HN_EBRT_+/-CHEMO

Skin - Head & Neck melanoma ± chemo

Cancer Type: Skin
Modality: EBRT
Dose (Gy):48-66
Fractionation: 20-33
Dose per Fraction(Gy):2-2.4
Apr 2020

SKIN_MEL_HN_SHORT_+/-CHEMO

Skin - Head & Neck melanoma ± chemo (short course)

Cancer Type: Skin
Modality: EBRT
Dose (Gy):20-30
Fractionation: 5-10
Dose per Fraction(Gy):2-6
Apr 2020

SKIN_METS_EBRT

Skin - metastatic-MV photon – VMAT/IMRT (3DCRT)/electron (soft tissue/bone)

Cancer Type: Skin
Modality: EBRT
Dose (Gy):8-66
Fractionation: 1-33
Dose per Fraction(Gy):2-8
Jan 2022

SKIN_MVPHOTO_RAD/ADJ_1-5

Skin - Squamous, basal, merkel- MV photon - 3DCRT (radical/adjuvant) & VMAT/IMRT 1-5 fractions

Cancer Type: Skin
Modality: EBRT
Dose (Gy):18-35
Fractionation: 1-5
Dose per Fraction(Gy):7-18
Apr 2020

SKIN_MVPHOTO_RAD/ADJ_10-15

Skin - Squamous, basal, merkel- MV photon – 3DCRT (radical/adjuvant) & VMAT/IMRT 10-15 fractions

Cancer Type: Skin
Modality: EBRT
Dose (Gy):40-50
Fractionation: 10-15
Dose per Fraction(Gy):3.33-4.5
Apr 2020

SKIN_MVPHOTO_RAD/ADJ_20-25

Skin - Squamous, basal, merkel- MV photon - 3DCRT (radical/adjuvant) & VMAT/IMRT 20-25 fractions

Cancer Type: Skin
Modality: EBRT
Dose (Gy):50-60
Fractionation: 20-25
Dose per Fraction(Gy):2-3
Apr 2020

SKIN_MVPHOTO_RAD/ADJ_30-35

Skin - Squamous, basal, merkel- MV photon – 3DCRT (radical/adjuvant) & VMAT/IMRT 30-35 fractions

Cancer Type: Skin
Modality: EBRT
Dose (Gy):60-70
Fractionation: 30-35
Dose per Fraction(Gy):2
Apr 2020