Rad Onc Twitter

[NotMattSpraker]

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View attachment 411416

This does not look very "real world" to me...
Or am I the only one?

A lot of people are doing Lattice SBRT treatments and/or other techniques like GRID in the community and internationally in all kinds of settings. I talk to them all the time. The Wash U protocol was designed for generalizability to the community, and you can do it pretty easily if you have decent physics and an SBRT program. My (community hospital) group even created an AI tool for automated contouring in Aria that we would be happy to share.

I've done Lattice and also PUSLAR type treatments in the community, but only in the palliative setting where there there is not a clear radiotherapy standard of care.

I know some are investigating using spatially fractionated boosts for bulky tumors in the curative setting. I would not deviate from an established standard off trial, it is way too early for that IMO.

 

[madchemist89]

We use spatially fractionated treatment for bulky tumors in the palliative setting. I can’t say that I’ve noticed a difference, but when you are treating a 13 cm melanoma metastasis what else are you going to do.

 

[taserlaser]

Yeah, I would love to do this but our physics department might cry. If there was some comparative evidence showing it was better than usual or just dose escalated palliation, would be an easier sell. I imagine it might come at some point; some of the anecdotal responses are quite impressive.

 

[RickyScott]

Yeah, I would love to do this but our physics department might cry. If there was some comparative evidence showing it was better than usual or just dose escalated palliation, would be an easier sell. I imagine it might come at some point; some of the anecdotal responses are quite impressive.

I have 2 sarcoma reiteration pts out 4 years.