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Topics:
Hematologic Malignancies • Radiation Oncology • Pediatric Hematology/Oncology • Lymphoma • Internal Medicine • Hematology
Is it preferable to simulate pediatric Hodgkin's lymphoma patients with arms up or akimbo?
It seems that with the arms up, you get better lung blocking but with arms akimbo, you might have a lower dose to the humeral head.
Answer from: Radiation Oncologist at Community Practice
We will be moving towards involved site radiotherapy for pediatric Hodgkin lymphoma. Consequently, you may want to match the simulation with the set up of their pre-treatment PET/CT scan (arms up vs arms down). This will allow you to have more certainty regarding the location of axi...
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