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Radiation Oncology • Gastrointestinal Cancers
Would you offer liver SBRT without fiducial placement?
If you are treating a patient with liver SBRT, would you not treat a patient who cannot have fiducials? If you are treating without fiducials, are you lining up to bone or soft tissue?
Answer from: Radiation Oncologist at Academic Institution
Great points by Dr. @Brian D. Kavanagh! In my experience, fiducials increased the confidence of the whole team (therapy, physics, physician) when available for liver SBRT, and I used them for >90% of patients or more (Weiner et al., PMID 27566894). Of course, if MR-guided radiation is availa...
Comments
Radiation Oncologist at Brigham and Women's Hospital
My experience is very similar to Dr. @Parag J. Par...
My experience is very similar to Dr. @Parag J. Par...
Radiation Oncologist at Mon Health
I could not agree with you more. Thank you!
I could not agree with you more. Thank you!
Answer from: Radiation Oncologist at Academic Institution
At UAB, we use fiducials if at all possible, in conjunction with triggered kV imaging upon the opening of the gating phase. This allows for maximal precision of treatment.
The exception to this is if the patient has surgical clips (e.g., prior resection or biopsy) or if the patient has receiv...
Fiducials are great for localization, but I find i...
Agree with all of the above. We typically do not u...