borderline pancreas volumes
Wondering how people are doing volumes in BR pancreas when using conventional chemorads. The recently published Preopanc trial based volumes strictly off of gross disease, albeit using a different dose schema. On the other hand, we've historically treated a large volume with ENI from above the celiac down to L2 and into the porta, including the para-aortic, portal venous, celiac, and SMA in the case of head tumors. Based strictly on tolerability, I suspect more people complete the more...
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Source: Student Doctor Network - September 20, 2021 Category: Universities & Medical Training Authors: Ray D. Ayshun Tags: Radiation Oncology Source Type: forums
Fractionated vs. single fraction SRS for brain mets... What's your cut-off?
I am tending to fractionate tumors I can't get 20/1 into or at least 18/1.
Under 2 cm/3cc or so I'll do 20/1
2-3cm / 3-14 cc I'll do 18/1
Towards the upper end of that range, I start thinking more about fractionated SRS, and > 14-15 cc I go 27/3.
Not doing any single fraction < 18. Is anybody else?
I don't like that grey area very much, and can't find a lot of good data on this.
Curious how everyone else is approaching these 2.5 - 3.0 cm borderline tumors.
And also for fractionated...
Fractionated vs. single fraction SRS for brain mets... What's your cut-off? (Source: Student Doctor Network)
Source: Student Doctor Network - December 24, 2019 Category: Universities & Medical Training Authors: KHE88 Tags: Radiation Oncology Source Type: forums
