Recent content by Kroll2013

  1. Kroll2013

    financial viability study for a new RT department

    Dear colleagues, i would be grateful if you can recommend any useful resource, articles, tutorial etc ... that might help me to prepare a financial viability study. some references where i can find an average estimate of ROI in radiation therapy, average operational cost per session ....
  2. Kroll2013

    Incidental Anaplastic Thyroid Carcinoma

    Dear colleagues, I need your opinion concerning Mypatient; 66 yo male patient , PS0, no major comprbidities, incidentally diagnosed of a small anaplastic thyroid carcinoma, following a partial thyroïdectomy for a multi nodules goiter. Size on pathology 8*5mm. No LND was done. Free margins. No...
  3. Kroll2013

    Radiation therapy for intracardiac metastasis

    how do you counsel your patient about the risks related to radiation? necrosis / arrythmias secondary to fibrosis / blow out ??? or not relevant ? are these risks related to the primary tumor' pathology ? sarcoma vs melanoma vs other ?
  4. Kroll2013

    Radiation therapy for intracardiac metastasis

    Dear colleagues , my patient 56 yo known to have a history of oligometastatic STS, recently presented with a secondary lesion in the heart. He was strictly asymptomatic. we decided to go forward with systemic treatment not considering radiation in this setting. Unfortunately, he passed away...
  5. Kroll2013

    when do you use SCRT (25Gy/5fr) within a total neoadjuvant approach for Rectal Ca?

    Dear Colleagues, I am interested to know when do you favor standard LCRT versus SCRT in the setting of a TNT approach for rectal cancer? What are the criterias you follow ? does the age matter (young versus elderly)? location (lower/upper rectum)? sphincter involvement? sequencing (induction...
  6. Kroll2013

    Relatlimab for melanoma

    In what situation would you recommend relatlimab + nivolumab over ipilimumab + nivolumab in the treatment of metastatic melanoma?
  7. Kroll2013

    is PMRT needed for this patient?

    Superior inner quadrant
  8. Kroll2013

    is PMRT needed for this patient?

    54 years old patient, PS0, no medical comorbidities (obese), no family history of breast cancer underwent a MRM + LND for left Breast invasive Carcinoma Pathology showed: - T4cm, 0Ln/18 dissected pT2N0, free margins - G3, LVI ++, - ER 50%, PR 10%, Her2 neg - Ki 30%
  9. Kroll2013

    RT before or after vertebral augmentation?

    Dear colleagues, What is the best practice concerning pathological painful compression vertebral fracture (at the level of T9 for ex.)? MRI shows minimal retropulsion without significant compromise of the spinal canal. Does the sequencing of VA and RT affect the speed of pain relief?
  10. Kroll2013

    percentage of SBRT/SRS/moderate hypofractionation

    Dear colleagues, I am interested to know, in your daily practice how much do you estimate the percentage of SRS/SBRT/moderate hypofractionation treatment out of the total activity in your department ? (all included palliative + curative) and are you aware of any published numbers so we can...
  11. Kroll2013

    Radiation therapy and Behcet disease

    Dear colleagues, I will appreciate your advice concerning this patient. 61 years old patient, known to have a behcet disease that was well controlled. she was diagnosed of a left Breast Invasive Ductal carcinoma, G1. she underwent a partial mastectomy and left axillary nodes dissection...
  12. Kroll2013

    re-Irradiation of brainstem lesion after previous SRS

    THANK YOU GUYS. I am really lucky to have you for back up. xoxoxo
  13. Kroll2013

    re-Irradiation of brainstem lesion after previous SRS

    I totally agree with SFRT for brainstem lesions there are 3 lesions relapsing one volume with PTV 2mm : 6.7cc 2 others < 2cc each Her2 negative
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