What kidney constraints would you use for a patient with horseshoe kidney?
Answer from: Radiation Oncologist at Academic Institution
It depends on the clinical scenario (treating pa region prophylactic or definitive). If prophylactic, then be more conservative and plan for a mean dose of less than 10 Gy (16 Gy volume to less than 5 percent). If gross disease around, then the mean dose can be higher but try to focus on the highest...
Comments
Radiation Oncologist at Providence Health, St. Joseph Hospital Thank you @Sushil Beriwal. Would you contour the e...
Radiation Oncologist at Varian Medical Systems/Allegheny health network Yes.
Answer from: Radiation Oncologist at Academic Institution
I completely agree with Dr. @Sushil Beriwal's comments. A great comprehensive paper on kidney dose constraints was completed by @Laura Dawson and colleagues a few years ago and might be helpful for people facing this clinical situation. One might constrain the single horseshoe kidney volume similarl...
Thank you @Sushil Beriwal. Would you contour the e...
Yes.