Can I treat breast nodal volumes with hypofractionation?  

With the recently reported START (A and B) trial data from the UK, in which patients were allowed to receive hypfractionated doses to nodal regions, is it acceptable practice to treat supraclav/axilla regions with hypofractionation?



Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Tennessee Oncology
@Rachel A. Rabinovitch - do you treat the chest wa...
Radiation Oncologist at University of Colorado School of Medicine
We do at U of Colorado - based on the internationa...
Radiation Oncologist at PinnacleHealth System - Harrisburg
What lung dose constraints do you use? What percen...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
We use similar numbers. Some use V18 to account fo...
Radiation Oncologist at University of Colorado School of Medicine
@Neha Bhooshan - we use 40 Gy/15 for all PMRT/RNI ...
Radiation Oncologist at Willis Knighton Cancer Center
It has been the policy at our center for years now...
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Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at University of Colorado School of Medicine
Thanks, @Jonathan B. Strauss! I actually got off t...
Radiation Oncologist at MUSC Health of Medical University of South Carolina
Outside of clinical trial, do you ever offer hypof...
Radiation Oncologist at Northwestern University
@Rachel A. Rabinovitch. That's exciting. I'll be l...
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Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Tel Aviv Sourasky Medical Center, Israel
Hi. Considering what we know now (2020), and more ...
Radiation Oncologist at Cleveland Clinic
Absolutely; I routinely offer hypofractionated reg...
Radiation Oncologist at Virginia Commonwealth University School of Medicine
Thank you. In cases when you do offer hypofraction...
Radiation Oncologist at Retired
This race to decreasing treatment is perplexing. W...
Radiation Oncologist at University of Colorado School of Medicine
Good points. I'd point out the following. 1) Most ...
Radiation Oncologist at SwedishAmerican Regional Cancer Center
@John P. Petersen I had the exact same thought reg...
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Answer from: Radiation Oncologist at Academic Institution

Answer from: Radiation Oncologist at Community Practice
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Radiation Oncologist at Cleveland Clinic
There are long-term data from START patients treat...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
It’s the same with hypo fractionation for br...
Radiation Oncologist at Cancer Center of Hawaii
Thanks for pointing out the article on late effect...
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