Should special precautions be taken when treating oligometastatic disease in the sacrum or pelvis with SBRT in a patient with a long life expectancy?
For example in a patient with a good performance status and a biologically favorable cancer (ER+ breast cancer, EGFR+ NSCLC, or prostate cancer), are you worried about increased fracture risk over time? What dose fractionation would you consider?
Answer from: Radiation Oncologist at Academic Institution
There's so much good data now that if you can work it out (insurance, etc) it's worth doing. My suggestion is to do it, but paint within the lines, meaning don't use a dose that's poorly studied and 1) adhere to good quality dose constraints like TG101, and 2) consider the PTV coverage...in th...
Comments
Radiation Oncologist at Yale School of Medicine Thanks Ken! Do you recommend contouring the lumbos...
Radiation Oncologist at Mayo Clinic Absolutely. T2 MRI is great for this but you can ...
Radiation Oncologist at UPMC Hillman Cancer Center Thank you very much Drs.Olivier and Housri.
Do y...
Radiation Oncologist at Mayo Clinic We do daily b/c our patients are usually staying i...
Radiation Oncologist at Carolina Regional Cancer Center Do you change anything (e.g. fractionation) for ol...
Thanks Ken! Do you recommend contouring the lumbos...
Absolutely. T2 MRI is great for this but you can ...
Thank you very much Drs.Olivier and Housri. Do y...
We do daily b/c our patients are usually staying i...
Do you change anything (e.g. fractionation) for ol...