Given the improved ability to spare heart, kidney and liver, should IMRT be the standard of care for gastric MALT lymphoma (despite the low dose needed to effectively treat these patients)?

If so, what data should be presented to insurance companies to cover the cost?

Answer from: Radiation Oncologist at Academic Institution

Gastric MALT lymphoma is a tantalizing disease to utilize IMRT. The target is typically irregularly shaped and surrounded by critical normal structures, including the heart, liver, and kidneys. The standard dose for gastric MALT lymphoma is 30 Gy. Thus, one needs to be mindful of dose to all of thes...

Comments

Radiation Oncologist at Maimonides Medical Center
Hello Dr. @Kelsey. Thank you for your very thought...

Radiation Oncologist at Duke University Medical Center
I continue to use both 3D and IMRT techniques for ...

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Given the improved ability to spare heart, kidney and liver, should IMRT be the standard of care for gastric MALT lymphoma (despite the low dose needed to effectively treat these patients)?

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