Would you treat an inoperable <5 cm NSCLC tumor involving the hilum with SBRT?
What fractionation scheme would you use? Would you give SBRT to a hilar tumor that has N1 nodal involvement adjacent to the tumor but can be encompassed in the SBRT field?
Answer from: Radiation Oncologist at Academic Institution
There is legitimate concern with the development of late toxicities such as bronchial stenosis and hemopytsis after SBRT for centrally located tumors. The recently updated data from RTOG 0813 confirms that even with early stage, node negative, centrally located tumors, there is an approximately 5% ...
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Answer from: Radiation Oncologist at Academic Institution
In RTOG 0813, the initial dose level 50 Gy in 5 fxs appears to be safe and I have not personally encountered problems with 50 Gy/ 5 fxs throughout these years. Having said that, serious complications are still possible. I share Cliff's concerns. Sometimes when the PTV is expanded into large airways ...
Answer from: Radiation Oncologist at Community Practice
Cliff's insights are invaluable, and a nice example of the incredible value that TheMedNet gives us to see what others are up to. The only additional value I can provide is to remind us that the shock-and-awe of 3-5 fraction SBRT was revealed to the world only through single-arm studies. It is for t...
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Radiation Oncologist at Mon Health
Would anyone consider the regiment, out of Japan, ...
Would anyone consider the regiment, out of Japan, ...
Answer from: Radiation Oncologist at Community Practice
Many would choose to treat this scenario with SBRT, but I believe chemo-radiation would be another alternative treatment choice if the patient is fit.
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Medical Oncologist at Kettering Cancer Center
I agree, my question is, if you decide to pursue t...
I agree, my question is, if you decide to pursue t...
Radiation Oncologist at UCLA | VA Greater Los Angeles Healthcare System
Not in 2016, but definitely in 2022. :)
Not in 2016, but definitely in 2022. :)
Radiation Oncologist at Cancer Care Centers of Brevard
Sure, if you can get it paid for.
Sure, if you can get it paid for.