How would you manage a treatment interruption during SBRT to the liver?
How long is too long to resume SBRT, and would you increase doses? Is there a number of elapsed days that would cause you to abort completion of SBRT?
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Mayo Clinic, Rochester
Answered on
The answer to this question is "it depends". Given that the original delivery of SBRT was two fractions per week over a period of 2.5-3 weeks for 3-5 fractions, if the patient completes SBRT within this time frame, it would still not truly qualify as a treatment interruption.
Further, if you deliver ...
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Mednet MemberInvited Expert
Radiation Oncology · Montefiore Einstein Comprehensive Cancer Center
Answered on
The University of Michigan group has tested intentional 4-week treatment breaks after delivering 3 out of 5 planned SBRT fractions. There was no apparent reduction in local control, so I think completing the planned treatment course after such a break could be reasonable.
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