When using surface image-guidance for breast radiation, how do you accommodate for changes in anatomy?
E.g., if tattoo-less set up is used and a patient has significant seroma shrinkage or breast swelling during treatment, do you re-simulate?
How often is this an issue in your practice?
Answer from: Radiation Oncologist at Academic Institution
It depends on the timing (where they are in their treatment course). If there is a notable change, we will re-CT, especially for seroma shrinkage. Sometimes, if there is a discrepancy within the first couple of treatments, we will re-capture the surface-guided setup. There are some data present indi...
Comments
Radiation Oncologist at Locum Tenens Good practice if the seroma is an accurate surroga...
Good practice if the seroma is an accurate surroga...