Protocol Compass

Navigate to the right protocol

Dose Oracle

Find the Right Treatment Protocol

Comprehensive SBRT & SRS protocols from RTOG, NRG, and consensus guidelines. Quick reference and detailed views with Dose Oracle integration.

19
Protocols
5
Disease Sites
6
Techniques

Browse by Site

🫁

Lung SBRT

Peripheral & central lung tumors

3 protocols
🧠

Brain SRS/SRT

Metastases & primary tumors

4 protocols
🦴

Spine SBRT

Vertebral body metastases

4 protocols
🎯

Prostate SBRT

Ultra-hypofractionated prostate

4 protocols
🫀

Liver SBRT

HCC & liver metastases

4 protocols
💛

Pancreas SBRT

LAPC & borderline resectable

Coming soon
🫘

Kidney SBRT

RCC & adrenal metastases

Coming soon
🔬

Oligometastatic

Limited metastatic disease

Coming soon

All Protocols

🫁

RTOG 0236

Peripheral
SBRT
54 Gy / 3 fx
18 Gy per fractionBED₁₀ = 151.2 Gy
Key Constraints
Spinal CordMax < 18 Gy (6 Gy/fx)
EsophagusMax < 27 Gy (9 Gy/fx)
Brachial PlexusMax < 24 Gy (8 Gy/fx)
HeartMax < 30 Gy (10 Gy/fx)
SBRTLungPeripheralNSCLC
Dose Oracle
🫁

RTOG 0813

Central
SBRT
60 Gy / 5 fx
12 Gy per fractionBED₁₀ = 132.0 Gy
+1 more
Key Constraints
Spinal CordMax < 30 Gy (6 Gy/fx)
EsophagusMax < 35 Gy (7 Gy/fx)
Brachial PlexusMax < 32 Gy (6.4 Gy/fx)
Proximal Bronchial TreeMax < 38 Gy
SBRTLungCentralNSCLC
Dose Oracle
🫁

RTOG 0915

Peripheral
SBRT
48 Gy / 4 fx
12 Gy per fractionBED₁₀ = 105.6 Gy
+1 more
Key Constraints
Spinal Cord1fx: <14 Gy / 4fx: <25.6 Gy
Chest Wall1fx: V30 <30cc / 4fx: V40 <50cc
Esophagus1fx: Max <15.4 Gy / 4fx: <30 Gy
Heart1fx: Max <22 Gy / 4fx: <34 Gy
SBRTLungPeripheralNSCLC
Dose Oracle
🧠

SRS 1fx

Metastases
SRS
24 Gy / 1 fx
24 Gy per fractionBED₁₀ = 81.6 Gy
+2 more
Key Constraints
BrainstemMax < 15 Gy
Optic ChiasmMax < 8-10 Gy
Optic NervesMax < 8-10 Gy
CochleaMax < 9 Gy
SRSBrainMetastasesSingle fraction
Dose Oracle
🧠

SRT 3fx

Metastases
SRT
27 Gy / 3 fx
9 Gy per fractionBED₁₀ = 51.3 Gy
+1 more
Key Constraints
BrainstemMax < 23 Gy
Optic ChiasmMax < 17-19 Gy
Optic NervesMax < 17-19 Gy
CochleaMean < 20 Gy
SRTBrainMetastases3 fraction
Dose Oracle
🧠

SRT 5fx

Metastases
SRT
30 Gy / 5 fx
6 Gy per fractionBED₁₀ = 48.0 Gy
+1 more
Key Constraints
BrainstemMax < 31 Gy
Optic ChiasmMax < 25 Gy
Optic NervesMax < 25 Gy
CochleaMean < 25 Gy
SRTBrainMetastases5 fraction
Dose Oracle
🧠

Post-op SRS

Post-operative
SRS
18 Gy / 1 fx
18 Gy per fractionBED₁₀ = 50.4 Gy
+2 more
Key Constraints
Brainstem1fx: <15 Gy / 3fx: <23 Gy
Optic Chiasm1fx: <8 Gy / 3fx: <17 Gy
Brain-GTVV12 < 10cc (1fx)
SRSSRTBrainPost-operative
Dose Oracle
🦴

RTOG 0631

Single Fraction
SBRT
16 Gy / 1 fx
16 Gy per fractionBED₁₀ = 41.6 Gy
+1 more
Key Constraints
Spinal CordDmax < 14 Gy (10 Gy to cord)
Cauda EquinaDmax < 16 Gy
EsophagusDmax < 14.5 Gy
SkinDmax < 22 Gy
SBRTSpineSingle fractionMetastases
Dose Oracle
🦴

Spine 3fx

Hypofractionated
SBRT
27 Gy / 3 fx
9 Gy per fractionBED₁₀ = 51.3 Gy
+1 more
Key Constraints
Spinal CordDmax < 21.9 Gy (D0.35cc < 18 Gy)
Cauda EquinaDmax < 25.6 Gy
EsophagusDmax < 25.2 Gy
Sacral PlexusDmax < 25.6 Gy
SBRTSpine3 fractionMetastases
Dose Oracle
🦴

Spine 5fx

Hypofractionated
SBRT
30 Gy / 5 fx
6 Gy per fractionBED₁₀ = 48.0 Gy
+1 more
Key Constraints
Spinal CordDmax < 30 Gy (D0.35cc < 25 Gy)
Cauda EquinaDmax < 32 Gy
EsophagusDmax < 30 Gy
SBRTSpine5 fractionMetastases
Dose Oracle
🦴

Spine Re-RT

Re-irradiation
SBRT
20 Gy / 5 fx
4 Gy per fractionBED₁₀ = 28.0 Gy
+2 more
Key Constraints
Spinal CordCumulative Dmax depends on interval and prior dose
Spinal Cord5fx: Dmax < 22 Gy (if prior 40 Gy, >6mo)
Cauda EquinaSimilar sparing to cord
SBRTSpineRe-irradiationSalvage
Dose Oracle
🎯

PACE-B

Definitive
SBRT
36.25 Gy / 5 fx
7.25 Gy per fractionBED₁₀ = 62.5 Gy
Key Constraints
RectumV36 < 1cc, V29 < 20%
BladderV37 < 5cc, V18 < 50%
UrethraDmax < 42 Gy
Penile BulbDmax < 29.5 Gy
SBRTProstate5 fractionDefinitive
Dose Oracle
🎯

HYPO-RT-PC

Definitive
SBRT
42.7 Gy / 7 fx
6.1 Gy per fractionBED₁₀ = 68.7 Gy
Key Constraints
RectumV38 < 5%, V30 < 30%
BladderV38 < 10%, V32 < 25%
Femoral HeadsV25 < 5%
SBRTProstate7 fractionDefinitive
Dose Oracle
🎯

40 Gy/5fx

Definitive
SBRT
40 Gy / 5 fx
8 Gy per fractionBED₁₀ = 72.0 Gy
+1 more
Key Constraints
RectumV40 < 1cc, V32 < 10%
BladderV40 < 5cc, V20 < 50%
UrethraDmax ≤42 Gy
SBRTProstate5 fractionDefinitive
Dose Oracle
🎯

SBRT Boost

Boost
SBRT
21 Gy / 2 fx
10.5 Gy per fractionBED₁₀ = 43.0 Gy
+1 more
Key Constraints
RectumV18 < 1cc
BladderV19 < 5cc
UrethraDmax ≤22 Gy
SBRTProstateBoost2 fraction
Dose Oracle
🫀

Liver Mets 3fx

Metastases
SBRT
54 Gy / 3 fx
18 Gy per fractionBED₁₀ = 151.2 Gy
+1 more
Key Constraints
Liver (normal)≥700cc receives <15 Gy
StomachDmax < 30 Gy
DuodenumDmax < 30 Gy
BowelDmax < 30 Gy, V24 < 20cc
SBRTLiverMetastases3 fraction
Dose Oracle
🫀

Liver Mets 5fx

Metastases
SBRT
50 Gy / 5 fx
10 Gy per fractionBED₁₀ = 100.0 Gy
+1 more
Key Constraints
Liver (normal)≥700cc receives <21 Gy
StomachDmax < 35 Gy
DuodenumDmax < 35 Gy
Spinal CordDmax < 30 Gy
SBRTLiverMetastases5 fraction
Dose Oracle
🫀

HCC CP-A

HCC
SBRT
50 Gy / 5 fx
10 Gy per fractionBED₁₀ = 100.0 Gy
+1 more
Key Constraints
Liver (normal)Mean <18 Gy, 800cc <15 Gy
StomachDmax < 35 Gy
BowelDmax < 35 Gy
SBRTLiverHCC5 fraction
Dose Oracle
🫀

HCC CP-B

HCC
SBRT
40 Gy / 5 fx
8 Gy per fractionBED₁₀ = 72.0 Gy
+1 more
Key Constraints
Liver (normal)Mean <13 Gy, 800cc <12 Gy
StomachDmax < 30 Gy
BowelDmax < 30 Gy
SBRTLiverHCC5 fraction
Dose Oracle