How do you manage imaging artifacts from surgical staples when planning post-operative radiotherapy for resected brain tumors?

Topics: Radiation Oncology • Neuro-Oncology

Do you insist that the staples are removed prior to sim or do you perform density overrides in the treatment planning system?

Answer from: Radiation Oncologist at Academic Institution

In general, patients I see have their staples removed by the time they come for simulation. That being said, I don't routinely insist they be removed if still intact. I would discuss with my surgeon if there is an indication to keep them longer. If no indication, sometimes I'll just have them stop b...

Comments

Radiation Oncologist at Washington University School of Medicine
I agree with @Tony J. Wang. Most of times I would ...

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