Recent content by radiaterMike

The feeding tube endpoint might be relevant if they can show that proton therapy improved sparing of an OAR that might correlate with feeding tube dependency (i.e. pharyngeal constrictors, larynx) and that the IMRT plan genuinely attempted to spare these structures. HNC is such a diverse disease...

MidWestRadonc is spot on ... but the concept of FIRE (or just FI for the Rad Onc's in their 60s-80s) is relatively recent. A quick Google search shows it started in 1992 but I'd guess it took >20 years to hit mainstream - aided (specifically for physicians) by WCI on Physician on Fire social...

More like 460 k ? The ad said 7 days on and 7 off - so: 26 weeks x 7 x daily rate ? Though not sure what goes on over the weekend -- so maybe it is 5 days on and 9 days off ? Either way - not bad.

just to clarify - ACR allows 90% ? meaning they accept that circumstances arise that might preclude 100% direct supervision ?

I like LAURA more than DEBRA

I would treat all obvious PSMA+ lesions (and agree with above that obvious is not always obvious). You can argue that if there are more than a few lesions, and some were not seen on conventional imaging, and that the patient would have qualified for STAMPEDE, he would potentially derive a...

Hopefully he didn't try to brush it off as though nothing happened https://thehill.com/blogs/pundits-blog/healthcare/348747-congress-shouldnt-put-a-cap-on-medical-malpractice-suits/

Reflexion allows for the PET signal to be monitored in real time and for radiation to be directed at it. How that benefits the patient (vs Cyberknife or other real-time monitoring or adaptive planning systems that actually account for day to day changes) I don’t know.

There is a weird requirement that you need SA-CME if you do not comply with OLA (which was around well before they discontinued required SA-CME for all). I think you can choose to not comply with OLA and take an exam instead (???) and maybe you also need to do SA-CME if you choose that route...

But you are not paying OASDI (>6%) in November

I am guessing that "electron beam therapy" is an administrator's error. Probably SRT or EBT.

I am pretty sure that with any corporation, the CEO oversees all aspects the operations - not only sales. Usually all the C_Os report to the CEO - CMO, COO, CFO, CTO ... and if there not people with those (or similar) titles, the CEO takes on those roles.

From what I understand, Dr Spratt is a strong advocate of the protein beam.

Those registries that enroll any patient with any disease should not be a 'golden ticket' for proton approval. Protons for 4 Gy x 5 palliation of a femur met on registry ? I understand that the ASTRO Model Policy seems to allow for this ("All other indications not listed in Group 1 are suitable...