What dose/fractionation scheme would you employ for treatment of a bone with impending fracture prior to surgical fixation?
Would you use 30/10, 20/5, or 8/1, and why?
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What dose/fractionation scheme would you employ for treatment of a bone with impending fracture prior to surgical fixation?
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2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Memorial Sloan Kettering Cancer Center
Answered on
There are several advantages to pre-op RT. For example, the target is much better defined pre-op, and normal tissue exposure can be minimized compared to post-op RT. However, treatment fields should be constructed to minimize the risk of RT-related post-op complications including delayed wound heali...
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Radiation Oncology · Michigan Healthcare Professionals, PC
Answered on
What a great idea to do pre-op. I have never considered doing this on purpose. On occasion, it has happened because of timing issues.
If you can do rapid turnaround when seeing patients (consult-sim-treat in the morning) and then refer out for surgery, can do reduced field size compared to post-op ...
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