How do you create the boost fields for a definitive bladder cancer treatment?

Do you use CT, MRI or PET/CT to create GTV volumes? What margins do you use for your CTV/PTV?

Answer from: Radiation Oncologist at Community Practice

"Map out the tumor position three dimensionally with the urologist and use all available imaging" is what they say and then after locating it/contouring it, you have to treat with a full bladder. Early in my career, I attempted this and had two issues: Localization is harder than you thi...

Comments

Radiation Oncologist at Weatherby Health Care
Thank you for your kind and thoughtful response.

Radiation Oncologist at Ohio State University James Cancer Center
Not a GU specialist but… if doing a partial...

Radiation Oncologist at Lake Huron Medical Center
That is a good idea, if one prefers to utilize a b...

Radiation Oncologist at Vanderbilt-Ingram Cancer Center
In my experience, those who favor partial bladder ...

Radiation Oncologist at St. Vincent Hospital
Dr. @Parikh, I have always "done the boost first"...

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How do you create the boost fields for a definitive bladder cancer treatment?

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