How do you create the boost fields for a definitive bladder cancer treatment?

Do you use CT, MRI or PET/CT to create GTV volumes? What margins do you use for your CTV/PTV?

Answer from: Radiation Oncologist at Community Practice

"Map out the tumor position three dimensionally with the urologist and use all available imaging" is what they say and then after locating it/contouring it, you have to treat with a full bladder. Early in my career, I attempted this and had two issues: Localization is harder than you thi...

Comments

Radiation Oncologist at Weatherby Health Care
Thank you for your kind and thoughtful response.

Radiation Oncologist at The Ohio State University - James Cancer Hospital and Solove Research Institute
Not a GU specialist but… if doing a partial...

Radiation Oncologist at Lake Huron Medical Center
That is a good idea, if one prefers to utilize a b...

Radiation Oncologist at Vanderbilt-Ingram Cancer Center
In my experience, those who favor partial bladder ...

Radiation Oncologist at St. Vincent Hospital
Dr. @Parikh, I have always "done the boost first"...

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How do you create the boost fields for a definitive bladder cancer treatment?

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