Lustre trial 15fx dose constraints

[madchemist89]

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Does anyone have the Lustre trial protocol?

 

[Ray D. Ayshun]

Does anyone have the Lustre trial protocol?

theMednet

helpful too

https://www.astro.org/ASTRO/media/ASTRO/AffiliatePages/arro/PDFs/ARROCase_SABR_Lung_EarlyStage.pdf

some might argue some of the constraints are a little aggressive

 

[TheWallnerus]

theMednet

helpful too

https://www.astro.org/ASTRO/media/ASTRO/AffiliatePages/arro/PDFs/ARROCase_SABR_Lung_EarlyStage.pdf

some might argue some of the constraints are a little aggressive

Nice prez

It's interesting tho in the thing they say

In then their plan

I'm like "that 30 Gy looks a little juicy"

And then sure 'nuff:

With a little more inhomo they could've made the plan a little bit better right @elementaryschooleconomics and @RickyScott ... this is the kind of homogeneity I would accept in a whole breast plan lol

They even made it explicit

 

[evilbooyaa]

With a little more inhomo they could've made the plan a little bit better this is the kind of homogeneity I would accept in a whole breast plan lol

The post from Swaminath on mednet said the 60/15 was meant to be more like a standard fractionated approach, so they mandated ~110% hotspots. He's just thinking about us poor americans. Can't do stereo for > 5 fractions.

 

[elementaryschooleconomics]

They even made it explicit

I like this slide from this year's Lung Spring Refresher:

But yeah, agree with @evilbooyaa:

 

[madchemist89]

Thanks! I was looking for the lung constraint. I missed it at the bottom of that mednet thread.

 

[Lamount]

theMednet

helpful too

https://www.astro.org/ASTRO/media/ASTRO/AffiliatePages/arro/PDFs/ARROCase_SABR_Lung_EarlyStage.pdf

some might argue some of the constraints are a little aggressive

These are similar to my constraints for definitive early stage dz… point max of bronchus <100 EQD2

 

[thecarbonionangle]

NRGLU004 also has 60/15 constraints. SUNSET trial also has 60/15 constraints.

 

[Neuronix]

The post from Swaminath on mednet said the 60/15 was meant to be more like a standard fractionated approach, so they mandated ~110% hotspots. He's just thinking about us poor americans. Can't do stereo for > 5 fractions.

Pay for a fractionated stereo case is pretty similar to 15 fraction IMRT/IGRT. So 5 fractions, 15 fractions... Both ok to me. You can create a stereo plan and just call it 15 fraction IMRT/IGRT.


6 fractions?! GTFO

 

[deleted1111261]

Pay for a fractionated stereo case is pretty similar to 15 fraction IMRT/IGRT. So 5 fractions, 15 fractions... Both ok to me. You can create a stereo plan and just call it 15 fraction IMRT/IGRT.


6 fractions?! GTFO

6 is pissing on American flag

 

[medgator]

6 is pissing on American flag

6-8

 

[deleted1111261]

6-8

8 at least you get a “dangling” OTV

 

[jondunn]

8 is great.

6-7 not great, bob!

 

[Lamount]

-7 Gy x 10 for big, but not so bad.
-5 Gy x15 for big, bad and ugly (at least to the parts that aren’t touching something important)