When treating NSCLC with SABR, if the preceding lung biopsy resulted in post-biopsy hemorrhage, how would you modify your target volumes, if at all?

How (if at all) would you modify your target volume if the hemorrhage was present on immediate post-biopsy CT, but resorbed by time of CT sim? What about if the hemorrhage was still present at CT sim?

Answer from: Radiation Oncologist at Community Practice

Use pet activity to use actual tumor volume.

Comments

Radiation Oncologist at University of New Mexico School of Medicine
I agree with @Wagih M. Shehata, an FDG PET/CT may ...

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When treating NSCLC with SABR, if the preceding lung biopsy resulted in post-biopsy hemorrhage, how would you modify your target volumes, if at all?

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