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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

CNS_BRAIN_MET_SRS_FRAC

CNS Brain Mets- Stereotactic - fractionated

Cancer Type: Any (CNS)
Modality: SRS
Dose (Gy):21-35
Fractionation: 3-5
Dose per Fraction(Gy):5-9
Apr 2020

CNS_BRAIN_MET_SRS_SINGLE

CNS Brain mets- Stereotactic - single fraction

Cancer Type: Any (CNS)
Modality: SRS
Dose (Gy):12-24
Fractionation: 1
Dose per Fraction(Gy):12-24
Apr 2020

CNS_BRAIN_MET_WBRT

CNS Brain Mets-Whole brain

Cancer Type: Any (CNS)
Modality: EBRT
Dose (Gy):20-30
Fractionation: 5-10
Dose per Fraction(Gy):2-4
Apr 2020

CNS_BRAIN_MET_WBRT_HIPPO

CNS Brain Mets- Whole brain + hippocampal avoidance with IMRT/VMAT component

Cancer Type: Any (CNS)
Modality: EBRT
Dose (Gy):20-30
Fractionation: 5-10
Dose per Fraction(Gy):2-4
Apr 2020

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_CRANIOPHARYNGIOMA

CNS- Craniopharyngioma

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

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_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