Palliation   

Assuming the patient is symptomatic and/or has compression of ventricles, what field design and dose-fractionation would you use?

Would you consider using radiotherapy for persistent malignant pericardial effusion?  What dose-fractionation would you use, and what would your ...

Would you treat if the patient is asymptomatic? If you do treat with RT, what dose-fractionation would you use, and what volumes do you target?