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If you have commercial insurance IMRT for routine whole breast is seldom going to get through unless the commercial policy doesn’t require prior authCigna is not approving in my experience.
I heard there is a 5 fraction WBRT + SIB protocol from MDACC. I tried to find it on clinicaltrials.gov but could not. I can try to get some info...
WE HAVE ASTRO TO THANK FOR THIS AND IT SHOULD BE A SCANDAL (yes I yelled)
United just changed its commercial policy to make IMRT medically necessary for 5 fraction breast, but this doesn’t address what we are talking about here