Please select the option that best describes you:
Topics:
Radiation Oncology • Neuro-Oncology
Would you offer hippocampal sparing whole brain radiation for patients with brain metastases due to ES-SCLC?
Would you consider this if the patient does not appear to have hippocampal involvement? Or is the risk of subsequently developing hippocampal metastases too high?
Answer from: Radiation Oncologist at Community Practice
Until we have built-in auto-segmentation, I find the RTOG contouring atlas very helpful for manual contouring of the hippocampus.
I tend to use the lateral ventricle as my main landmark, and look for the circle of gray matter located medial to it. Once I've drawn a hippocampus, I'll look at it in t...
Sign in or Register to read more
Answer from: Radiation Oncologist at Community Practice
Thank you to theMednet for the opportunity to address this important question. This reply was generated in collaboration with Dr. @Paul D. Brown and Dr. @Chad G. Rusthoven.We would recommend hippocampal avoidance (HA) using IMRT during WBRT for patients with brain metastases from small cell lung can...
Comments
Radiation Oncologist at Maimonides Medical Center
When you elect for PCI, does your group employ hip...
When you elect for PCI, does your group employ hip...
Answer from: Radiation Oncologist at Community Practice
I would love to use that, but I trained many eons ago, and don't feel confident that I can accurately delineate the hippocampus. I don't have neuroradiology available, and also don't have easy access to radiology for assistance.
Comments
Radiation Oncologist at UC San Diego
@Robena Medbery I think we have a solution for thi...
@Robena Medbery I think we have a solution for thi...
Radiation Oncologist at UP Health System, Marquettte
@Tyler Seibert, I appreciated the news of automate...
@Tyler Seibert, I appreciated the news of automate...
Radiation Oncologist at Northeast Alabama Regional Medical Center
As a side note: usually rad oncs only contour on a...
As a side note: usually rad oncs only contour on a...
Radiation Oncologist at Grand View Hospital
The contouring atlas is available.
The contouring atlas is available.
Radiation Oncologist at START Center for Cancer Care
Can you use 3-4 mm MRI cuts and reliably contour t...
Can you use 3-4 mm MRI cuts and reliably contour t...
Radiation Oncologist at Munson Medical Center
I would always get a 1-1.5 mm cut volumetric T1-po...
I would always get a 1-1.5 mm cut volumetric T1-po...