Radiation
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Pain is one of the most awful symptoms of cancer, and the one that most people talk about when discussing the value of physician assisted suicide. While I (thankfully) have never had a patient directly ask me for such aid, I have had many conversations with patients and their families about pain management and [...]
3 CommentsTargeting cancer cells and missing all of the normal tissue is the Holy Grail of cancer therapy. It is the cancer equivalent to the perfect diet: eat everything you want, never exercise and stay perfectly skinny and fit. Doesn’t happen in metabolics and doesn’t happen in cancer therapy. Yet, to hear radiation oncologists or [...]
2 CommentsSomeone recently asked this question, which sounds like the start of a bad joke, but it’s actually an excellent question for it gets to the heart of the challenge of fractionated radiation therapy (given over multiple treatments, or fractions): “Why do we what we do, and can’t patient comfort or convenience play a larger [...]
5 CommentsEsophagitis is a symptom that occurs in patients undergoing radiation for lung cancer. It is not uncommon for patients to blame the radiation for this side effect. Radiation esophagitis if often described as a “sunburn on the inside of the esophagus.” The esophagus it the long swallowing tube that sits in the middle of [...]
0 CommentsDespite the acute side effects, it is important to try and deliver the radiation treatment without any interruptions or delays in treatment. Experiments in the laboratory with cancer cell lines demonstrate quite convincingly that interrupting the radiation treatment even for a few days allows the cancer cells to grow back. A large retrospective study [...]
0 Comments Image Guided Radiotherapy, which his also known as IGRT, is a new and emerging technology in radiotherapy.
In its broadest sense, IGRT applies to any of a number of technologies that improve the ability of the radiation oncologist to validate the patient’s exact position prior to initiating radiotherapy. For many of years, the standard [...]
The treatment of lung cancer with radiotherapy is rapidly changing as new technologies make the treatment safer and more effective. One of the more recent developments has been the development of tools that allow for designing radiation fields that account for a tumor’s specific motion, or it’s change in position over time, the fourth [...]
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