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In what situation, if any, should a proton boost be used to boost gross disease in head and neck cases?
How can this be done logistically to coordinate the proton boost off site? Should everything be done up front? How are the logistics regarding planning best coordinated? Please share your institution's experience!
Answer from: Radiation Oncologist at Community Practice
Good question. It reminds me of when IMRT was newer, and our practice at UCLA was to give 5 weeks of 3D conformal radiation to whole pelvis, reserving IMRT for the prostate boost portion.@Bruce A. McGibbon and I looked at the outcomes, and they didn't seem much different, toxicity-wise, than th...
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