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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

269 items

PED_SOLIDTUMOUR_POSTOP

Pediatrics- soft-tissue solid tumours (postoperative boost)

Cancer Type: Pediatrics
Modality: EBRT
Dose (Gy):16.2-21.6
Fractionation: 9-12
Dose per Fraction(Gy):1.8
Apr 2021

PED_SOLIDTUMOUR_PREOP

Pediatrics- soft-tissue solid tumours (Preoperative)

Cancer Type: Pediatrics
Modality: EBRT
Dose (Gy):45-50.4
Fractionation: 25-38
Dose per Fraction(Gy):1.8-2
Feb 2021

PED_WT_NEPHROBL

Pediatrics- Wilms tumour (nephroblastoma) ± boost

Cancer Type: Genitourinary (Pediatrics)
Modality: EBRT
Dose (Gy):10.8-30.6± 9-10.8
Fractionation: 6-17±5-6
Dose per Fraction(Gy):1.8
Apr 2020

SAR_HN_EBRT

Sarcoma- Head & Neck (primary EBRT)

Cancer Type: Sarcoma (Head and Neck)
Modality: EBRT
Dose (Gy):50-70
Fractionation: 25-35
Dose per Fraction(Gy):2
Apr 2020

SARC_BONE_CHONDROSARCOMA

Sarcoma - Chondrosarcoma ± boost IMRT/VMAT

Cancer Type: Sarcoma
Modality: EBRT
Dose (Gy):50±16-20
Fractionation: 25-27±8-10
Dose per Fraction(Gy):1.8-2
Feb 2021

SARC_BONE_EWING

Sarcoma - Ewing preoperative/postoperative, definitive, adjuvant RT

Cancer Type: Sarcoma
Modality: EBRT
Dose (Gy):50-70
Fractionation: 25-35
Dose per Fraction(Gy):2
May 2020

SARC_BONE_GIANTCELL

Sarcoma - Giant cell tumour of the bone

Cancer Type: Sarcoma
Modality: EBRT
Dose (Gy):50
Fractionation: 25
Dose per Fraction(Gy):2
Feb 2021

SARC_BONE_OSTEOSARCOMA

Sarcoma - Osteosarcoma

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

SARC_BONE_SACRUMCHORD

Sarcoma - Sacrum chordoma IMRT/VMAT

Cancer Type: Sarcoma
Modality: EBRT
Dose (Gy):50-74
Fractionation: 25-37
Dose per Fraction(Gy):2
Apr 2020

SARC_IMRT/VMAT_PREV_RE-TREAT_IRRAD

Sarcoma - Previously irradiated volume/retreatment, IMRT/VMAT BID

Cancer Type: Sarcoma
Modality: EBRT
Dose (Gy):44
Fractionation: 40
Dose per Fraction(Gy):1.1
Apr 2020

SARC_OTHER_UNSPECIFIED

Sarcoma - Other unspecified

Cancer Type: Sarcoma
Modality: EBRT
Dose (Gy):50
Fractionation: 25
Dose per Fraction(Gy):2
Apr 2020

SARC_SOFT_EXTTRK_2P_PREOP_EBRT_+/-BOOST

Sarcoma - Soft tissue - Extremity, trunk, preoperative IMRT/VMAT ± EBRT boost

Cancer Type: Sarcoma
Modality: EBRT
Dose (Gy):50±10-16
Fractionation: 25±5-8
Dose per Fraction(Gy):1.8-2
Apr 2020