What is your approach to re-irradiation of the brachial plexus?

For example, when a patient has received 60-70 Gy with concurrent chemotherapy, do you consider dmax, BED, and interval between repeat courses of treatment? One study published by Chen et al. suggests a cut off of dmax 95 Gy.

Answer from: Radiation Oncologist at Academic Institution

The best data thus far is the reference you already alluded to. I always outline the brachial plexus during the initial course of RT and do the same in cases of reirradiation where the neck is being irradiated. Overall, for reirradiation cases for recurrence in the primary location there is little r...

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Radiation Oncologist at Radiation Oncology of Atlanta
Is there a benefit to hyperfractionation when re-i...

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What is your approach to re-irradiation of the brachial plexus?

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