Do you ever start patients on a Friday if non-emergent and you're not treating over the weekend?
The data for reducing radiation treatment time/elapsed days are most obvious in the setting of squamous cell carcinomas (SCC), where data have shown in H&N cancers, cervical cancers, and anal cancers that shorter treatment times are important for optimal local control. One study that I find intrigui...
I've often wondered about this same question. @Dr. First Last's comments seem exceptionally valid. That said, when I'm faced with this situation, I personally have treated with a larger dose on the Friday and then continue with a more traditional dose per fraction the following week, reducing the to...
For palliation, I do exactly what @Dr. First Last does. 4 Gy on Friday, then 3 Gy on Monday for brain mets or lung obstruction or bleeding is typical. I think it makes sense. They are going to eventually get a 2 day break at some point, and it's, in my mind, arbritrary when it is.
For curative, I t...