Would you ever recommend a breast boost using BID fractionation due to patient scheduling?
What if this was an electron vs photon boost? What fractionation scheme would you use?
Answer from: Radiation Oncologist at Academic Institution
We don't usually give the breast boost BID (due to patient scheduling or other reasons) but we will deliver a daily concomitant boost (270cGy to whole breast with simultaneous integrated daily boost of 320cGy to tumor bed for total dose of 4050cGy to whole breast and 4800cGy to tumor bed) as per our...
Comments
Radiation Oncologist at Loyola University Chicago Stritch School of Medicine I have frequently delivered a bid boost for a coup...
Radiation Oncologist at Rush University Medical Center I hAve done this on an occasional basis. Especiall...
Answer from: Radiation Oncologist at Community Practice
I agree with @Naamit K. Gerber in terms of the recent ASTRO guideline update recommending sequential boost, and this has always been my preferred and standard practice. I have...in rare instances...given the last two 2 Gy fractions of a boost in BID fashion, but this was always in the context o...
Answer from: Radiation Oncologist at Community Practice
I used this concomitant boost ,By IMRT or Rapid Arc,my easy fractionation is 270 cgy times 15 fractions (4,050),
While the lumpectomy site receives 300cgy times 15 fractions(4,500) all finished in three weeks,well tolerated,good cosmesis ,no severe fibrosis.patients loves it as ...
I have frequently delivered a bid boost for a coup...
I hAve done this on an occasional basis. Especiall...