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Would you consider a single insertion HDR scheme for T&O brachytherapy (BID fractionation over 3 days)?
Would there be a substanital increase in the risk of toxicity using such a scheme?
We frequently have patients who have to travel long distances for treatment, and would benefit from minimizing the number of insertions
Answer from: Radiation Oncologist at Community Practice
One can use the Vienna scheme where they do 7 Gy x2 with each insertion (2 insertion). I have done 5.5 to 6 Gy x5 with some patients with logisticical challenges.
An important thing is planning should be 3D image guided, each fraction should be planned to account for change in applicator positionin...
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