How do you manage imaging artifacts from surgical staples when planning post-operative radiotherapy for resected brain tumors?

Do you insist that the staples are removed prior to sim or do you perform density overrides in the treatment planning system?

Answer from: Radiation Oncologist at Academic Institution

In general, patients I see have their staples removed by the time they come for simulation. That being said, I don't routinely insist they be removed if still intact. I would discuss with my surgeon if there is an indication to keep them longer. If no indication, sometimes I'll just have them stop b...

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Radiation Oncologist at Washington University School of Medicine
I agree with @Tony J. Wang. Most of times I would ...

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How do you manage imaging artifacts from surgical staples when planning post-operative radiotherapy for resected brain tumors?

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