Rad Onc Meme Thread

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I basically had no esophageal patients for the past year. But all the sudden I got several that went through the chemo and just said no way to the surgery after achieving a cCR on PET/EGD.

So they get 4cyc FLOT (surgeon says no way) then basically Cross after that?
 
So they get 4cyc FLOT (surgeon says no way) then basically Cross after that?
The patient declines to go through with esophagectomy after FLOT (despite that being the initial up front plan) so then standard chemo/RT to 50.4 Gy is offered.
 
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I have never felt so many emotions in such a brief amount of time.

10/10 will 100% watch again.
Haven't seen a tomo plan since residency but from what I recall back then it was a garbage machine with planning taking all night and lots of limitations on SBRT and it was down a lot.

I guess that's what the video was trying to get at?
 
Haven't seen a tomo plan since residency but from what I recall back then it was a garbage machine with planning taking all night and lots of limitations on SBRT and it was down a lot.

I guess that's what the video was trying to get at?
I think there were a lot of satirical elements in the video haha. Someone should just write a paper describing all the elements of rad onc culture that show up in internet memes and submit it to the red journal. But with lots of examples lol
 
Haven't seen a tomo plan since residency but from what I recall back then it was a garbage machine with planning taking all night and lots of limitations on SBRT and it was down a lot.

I guess that's what the video was trying to get at?

Tomo does a few things decently well. Homogeneous VMAT plans, sure. Long fields that would normally take two isos, sure.

That's about it. Everything else it does much worse than a TB. Lord help you if you're doing SBRT on a Tomo. The like entire planning system literally can't fathom not having a maximum heterogeneity of 107-110%
 
Tomo was never designed to deliver SBRT but some chose to use it that way. IIRC - they had started to develop real time imaging with an imager that would move with the patient. But after Accuray purchased them they had no plans to develop a machine that would compete with Cyberknife.
 
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