Radiation Oncology

General Radiation Oncology   

Questions discussed in this category


If you do rechallenge is there anything that can be done to prevent the recall reaction from happening again?

Would this location be adequate for SABR, if so what dose scheduling would be recommended?

Does it matter if it's within the treatment area (such as breast cellulitis in a breast patient or a UTI in a pelvic RT patient) or outside the treatm...

Do you look at max dose or are there specific volumetric constraints you use for the small or large bowel? 

There have been case series published on this topic (most recently, PMID:26853347) with reported depigmentation within the RT treatment field.

Would you consider treating 3-5mm lesions with SBRT or wait until they are a certain size? I am concerned I will not be able to see them adequately on...

Do you use a different set of dose constraints for situations requiring treating much of the pelvis, e.g. rectal cancer, versus partial pelvis, e.g. a...

In a patient being treated with a palliative course of radiation for a bony metastasis from lung cancer is it safe to start immunotherapy for POD or w...

For a Stage III NSCLC looking to do definitive chemoRT who required IVIG and high-dose prednisone for paraneoplastic myopathy (mimicking dermatomyosit...

How long do you advise them to refrain from unprotected sex following RT? I was trained to discuss these issues with patients but the gonada...

Apart from H&N SCC, are there times where adding an extra dose of radiation due to a tx break is appropriate?  Is there a decent equatio...

It seems that we have increasingly been seeing younger patients with breast and rectal cancers.  What rates of radiation-caused secondary maligna...

Do you refer all patients who are felt to be at high risk to a genetic counselor for testing or are you comfortable performing a MyRisk panel in your ...

Is there evidence of decreased toxicity in the lung, brain, pelvis, breast or abdomen with 1.8 Gy fractions to justify longer treatment schedules or w...

There is some data that suggests PSA and EBV can flare early in radiation therapy treatment courses in prostate and nasopharyngeal patients, respectiv...

For example, would you counsel against breast conserving therapy for a woman exposed to fallout from the Chernobyl disaster or a downwinder?

We often counsel patients that they shouldn't take very high doses of antioxidants but taking a daily multivitamin with antioxidants is OK. Do you thi...

Have you found any of the more common medical treatments (chlorpromazine, baclofen) to be most effective in the setting of throacic radiation or head ...

If a holiday falls during the week do you treat all patients, a select subset of patients (i.e. cervix, head and neck) or give everyone the ...

Do you routinely ask all women of childbearing potential to have a pregnancy test? If so, do you get a pregnancy test before their CT simulation or th...

Published data show a mixed review of late toxicity with adjuvant radiation. What are guiding principles we should use as more patients are getting ge...

For instance, would you treat an anal cancer in someone that has a healing perianal access? What do you look for when considering initiating treatment...

For a patient who has completed 40 hyperbaric sessions with steroids with little improvement, what other options exist?

E.g. breast? I have found no literature on skin tolerance acutely or chronically.

Do people use it interchangeably with DMax or use the 2cmx2cm definition? I often get pushback from the dosimetrists for plans where the DMax is ...

We can always find individual cases from time to time in which the care deviated from the “standard of care” and these can be referred for...


Papers discussed in this category


J Neuroophthalmol,

Radiat. Res., 2002-08-01

N. Engl. J. Med., 1971-12-23

N. Engl. J. Med., 1981-12-31

J. Intern. Med., 1990-02-01

J Natl Cancer Inst, 2008 Jun 4

J. Natl. Cancer Inst., 2008-09-17

BMJ, 2010-07-29

Arch. Ophthalmol., 2001-10-01

Chest, 2017-06-01

Ann. Intern. Med., 2013-12-17

Breast, 2017 Oct

J. Clin. Oncol., 2017 Mar 20

J. Clin. Oncol., 2014 Dec 22

Am. J. Gastroenterol.,

Int. J. Radiat. Oncol. Biol. Phys., 2010 Jul 16

Clin Oncol (R Coll Radiol),

Semin Radiat Oncol, 2004-01-01

Pract Radiat Oncol, 2016 Nov 13

Int. J. Radiat. Oncol. Biol. Phys.,

Int J Radiat Oncol Biol Phys, 2010 Dec 1

J Thorac Oncol, 2010 Jun