What dose-fractionation regimen do you prefer when treating with hypofractionated whole breast radiation therapy without a boost for early stage breast cancer?
What initial dose-fractionation regimen do you prefer when treating with hypofractionated whole breast radiation therapy?
Join Mednetto vote and see how they answered.
I typically use the Canadian fractionation, and boost patients who are young (<50), high grade, triple negative, or Her2+.
Join for free or sign in to see the full answer
We typically use the Whelan fractionation (42.5Gy/16 fractions). You can also use the START B regimen (4005cGy/15 fractions) since only ~42% of patients in this trial were treated with a boost. Finally, one extreme hypofractionation regimen that we occasionally use in women who cannot tolerate or wh...
Join for free or sign in to see the full answer
The new ASTRO guideline on whole breast fractionation just published in Practical Radiation Oncology (PRO) endorses the preferred fractionation schedules of 40 Gy in 15 fractions or 42.5 Gy in 16 fractions. This was a strong recommendation based on high level evidence with 100% consensus.
Join for free or sign in to see the full answer