Given the 10-year outcomes of UK FAST-Forward presented at ESTRO, how have you expanded the use of ultra-hypofractionation in your practice?

Should all breast cancer patients receive 5 fractions of radiation, or are there still some who need three weeks of treatment? Any hint that real-world data differ from the trial, especially regarding cosmesis?

Answer from: Radiation Oncologist at Community Practice

We offer 5 fractions to all early-stage breast cancer patients. If technically suitable, the preferred option is APBI; otherwise, Fast-Forward 26 Gy in 5, ensuring dose homogeneity as specified in the protocol.

Comments

Radiation Oncologist at RadiantCare
Would you offer this to any stage patient needing ...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Yes, any time a whole breast alone is done, it wou...

Radiation Oncologist at Comprehensive Cancer Centers of Nevada
As a community practice radiation oncologist, I us...

Radiation Oncologist at Radiation Oncology of Rochester, PLLC
Is there a place to add a single fraction sequenti...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Yes, one can do 2.5 x 4 or 5.2 x 1 or 2 fractions.

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Given the 10-year outcomes of UK FAST-Forward presented at ESTRO, how have you expanded the use of ultra-hypofractionation in your practice?

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