Recent content by SBRTreble

ok, good to know - I appreciate it! The primary motivation is running out of space, and the 'vaultlessness' of it all is the main attraction. Just trying to figure out how much we'd lose in terms of quality and sophistication compared to our Truebeam. Sounds like it could be substantial. Thanks

I know it was discussed a while back, but it has been a while and I wonder if anyone has had recent experience using Zap-X for brain radiosurgery. Specifically, are people treating more than 2-3 brain mets, and how is the quality of the treatment planning? Would appreciate any thoughts/feedback!

I tend to agree with this - I'm pretty happy with this field and find it incredibly interesting. Having said that, residency and attending are very different. It might actually help if that gap was bridged a little better.

I'm a single issue voter and that issue is.... WIFI causes GBM!! Finally a scapegoat I can offer to patients. Thanks Bobby K!

What if they reluctantly tell you.... any bonus points?

I do worry about insufficient BED based on radbio principles, i.e. less well perfused/oxygenated postop environment. I concede your point that the most likely area for recurrence is in the epidural space and then you're in a pickle. One strategy which has been published is dose painting with...

Love that dude! This clip is fantastic. Would love to see some discussion at ASTRO, not sure what action can be taken collectively, but I'm all in whatever that may be. Fair, I am sure there are times where it's necessary. However there appears to be no nuance and little rationale in most cases...

Is anyone else noticing a serious increase in the number of denials received for what seems like it should be completely obvious? I'm regularly having to do p2ps for IMRT/SBRT denial for reirradiation of the spine (i.e. overlapping, abutting or same segment) in a young metastatic breast patient...

Respectfully: why do you prescribe 60 Gy? Is there any biological basis to that decision? Or is it because it is an arbitrary dose that we've always done for Stage # (fill in the blank) cancer?

Any experience or thoughts on this program? Seems to have some interesting features, not sure how it translates in practice.

I agree entirely in regards to postop or preop SRS cases, as well as functional SRS. Sometimes it just feels like additional burden and confusion for the patient to send them to a Neurosurgeon for a couple of subcentimeter brain metastases, where they are clearly going to be receiving SRS for...

Has anyone who regularly performs SRS found themselves in a workflow/practice where there is not an automatic referral to Neurosurgery for brain mets (i.e., a 5mm amenable to SRS)? I understand the history of SRS involving Neurosurgery for frame placement, etc., but are people finding there is...

I know him well and agree completely. Doesn't seem like Twitter is the best place for these kinds of discussions.

Or I imagine people will feel more comfortable doing so once they are not so worried about the job market. Agree, that's unfortunate.

Great. Hadn't seen it there earlier. Thanks! Sent from my iPhone using SDN mobile