How do you address extended break from EBRT during cervical cancer treatment?

Do you increase EBRT or brachy dose by a certain amount based on interval?

Answer from: Radiation Oncologist at Community Practice

EMBRACE data suggest HRCTV dose needs to be increased by 5 Gy for each week delay beyond 50 days to counter the downside of delay. We try to do that using hybrid applicator but total dose is still limited by OAR dose and we try to push as much as we can. (HRCTV to 90-95 Gy)

Comments

Radiation Oncologist at Texas Oncology Arlington South
You meant to push the dose to a total of up 9000cG...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
45 Gy EBRT plus 4 fractions HDR and a total of EQ2...

Radiation Oncologist at Harold C Simmons Comprehensive Cancer Center/UT Southwestern
While I agree in principle, in practice for a non-...

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How do you address extended break from EBRT during cervical cancer treatment?

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