When offering PCI for SCLC patient, do you include C1 in the treatment field or do you stop at the base of the skull?
Answer from: Radiation Oncologist at Academic Institution
I do bottom of C1 like most WBRT. I still go to bottom of C2 for LMD cases but I'm not sure that is necessary for PCI. Not aware of any direct level 1 evidence to address this, more of historical practice based on 2D. With FIF and VMAT CSI techniques and better IGRT, ensuring easy match line and fie...
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Answer from: Radiation Oncologist at Community Practice
Great question. How low do you go in SCLS PCI?So, back in the day, as a young Rad Onc guy, it was common practice to treat SCLC related brain RT issues down to C-spines levels C2/3. It was referred to back then as the 'German Helmet' because of its appearance on radiological imaging then. The reason...
Comments
Radiation Oncologist at Comprehensive Cancer Centers of Nevada
I go down to the bottom of C2 myself for PCI; than...
I go down to the bottom of C2 myself for PCI; than...
Radiation Oncologist at Cancer Treatment Center at Hazleton
By and large, I thought C2/3 was used for cranial-...
By and large, I thought C2/3 was used for cranial-...