How many missed fractions will you allow for a definitive lung CRT before recommending treatment on the weekend?
If a treatment machine is down for 3 days, would you do weekend treatment? Would you consider doing BID?
Answer from: Radiation Oncologist at Academic Institution
The clinical scenario posted in this question is not rare, since patient compliance or machine issues could result in missing fractions (i.e. treatment break) as originally planned & scheduled in a conventionally fractionated radiotherapy course (including definitive lung CRT that typically aims...
Answer from: Radiation Oncologist at Academic Institution
Very complete answer by Dr. @Steve P. Lee. There's an older paper from @Mitchell Machtay and the RTOG that looks at this: PMID 15927409. This would suggest there is some detriment to extending treatment time, though it wasn't a slam dunk here. I would say we also now need to be cognizant of our...
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Radiation Oncologist at UCLA Medical Center Thanks, Dr. @Kenneth Olivier!