Topics:
Radiation Oncology • Palliation
Do you ever consider hypo-fractionated palliative radiation postoperatively for bone metastases?
Guideline statements recommend 30 Gy in 10 fractions postoperatively due to lack of evidence for other fractionation schemes. Would you consider 20/5 or 8/1 for poor performers or patients who required hospitalization for the duration of treatment due to social issues?
Answer from: Radiation Oncologist at Academic Institution
While I routinely offer 30 Gy in 10 fractions, I think there is reasonable evidence to support more hypofractionated regimens, especially for patients with poorer performance status, and I have offered 20 Gy/5 fractions myself. The main indication for treatment is to prevent local recurrence and pre...
Answer from: Radiation Oncologist at Community Practice
I don't see why not.
I think of 8-10/1 as "pain control doses", while in this situation we are trying to improve local control, as well, so I have a bias towards fractionation. I have been using 20 Gy in 5 fx.
Comments
Radiation Oncologist at Mallory Radiotherapy, PLLC
Typically 30/10 to hardware. However, I have done ...
Typically 30/10 to hardware. However, I have done ...
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