What precautions or modifications, if any, would you employ when considering lung SBRT for early NSCLC in a patient recovering from acute lung injury?
For example, in a patient recovering from COVID pneumonia who is no longer a surgical candidate due to decline in pulmonary status, and still has clinical and radiologic sequelae of their acute lung injury.
Answer from: Radiation Oncologist at Academic Institution
For a patient recovering from COVID-19 pneumonia, I would hold SBRT until the patient has recovered fully from acute infection, i.e., no more fever, cough, and/or SOB. The patient's breathing should recover to close to pre-COVID-19 pneumonia status and chest CT image showed resolution of COVID...