How do you modify your dose constraints when giving lung SBRT to a new lesion in a patient previously treated with lung SBRT?

Topics: Lung Cancer • Radiation Oncology • Thoracic Malignancies • Stereotactic Body Radiotherapy • Re-irradiation • Non-small cell lung cancer

How does your approach change for same lung but now a different lobe v. different lung? How do you adjust your constraints?

Answer from: Radiation Oncologist at Academic Institution

Hi @Mohit. I don’t usually change it for lung constraints with a few caveats. Here’s the way I think about it, more or less…First of course, is the patient. How’s their lung function? Are they on O2 or limited in their ADLs? That raises the bar for treatment and constraints....

Comments

Radiation Oncologist at University of Texas Health Science Center at San Antonio Cancer Therapy and Research Center
Thank you for your thoughtful answer with specific...

Radiation Oncologist at UCLA | VA Greater Los Angeles Healthcare System
@Ken, this might be the most thoughtful and inform...

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