special guest at our abdominal imaging & intervention fellowship morning conference today...@abrams_md!!!
#radiology + #radiationoncology go together like peanut butter + jelly! one of my favorite parts of my job is working with our rad onc colleagues.
@radioactivered Well, the most interesting thing about the Radium Girls is actually how few of them got cancer.
"Only" 56 out of 1,468. I would argue that was, you know, 56 too many because it was entirely preventable, but still.
It's actually a great example of...wait for it...a threshold...
Controversial statement by @SJFrankMD, informed by the ProtecT study results, for those who still think prostatectomy is the better treatment. #ASTRO26
Really interesting randomized data from #ASTRO26.
Wang et al. randomized 93 patients with solitary HCC ≤2 cm, all suitable for either treatment, to RFA vs SBRT 50 Gy/5 fx.
2-year LPFS:
• RFA: 87.0%
• SBRT: 91.5%
• Difference +4.5%, meeting noninferiority
2-year OS was ~98% in both arms, with similar acute toxicity.
Small, single-center interim trial with a wide CI, so I would not overinterpret it. But this is another prospective randomized data point supporting SBRT as a legitimate definitive ablative option for small HCC, not simply a fallback when RFA (or other invasive interventions) cannot be performed.
#OncTwitter @NiuSanford@KrishanJethwa@nbn426
GI003 HCC proton vs photon: no dif OS, PFS, Gr 3+ AEs.
Protons = 1 option in expanding RT toolbox (MRgRT, adaptive, etc) to optimize therapeutic ratio, & each case should be individualized by tumor & liver fxn.
But w neg RCT & $/access dif, photon RT should remain SOC. #ASTRO26
Microwave ablation versus stereotactic body radiotherapy for oligometastatic colorectal liver metastases (LAVA-CRLM): a prospective, randomised, phase II trial
https://t.co/KQlw5yNMeF
A randomized trial confirms that visceral reactions matter when the word "radiation" is used as an adjective to describe a cancer therapy. Following this publication, I have adopted the preferred European terminology by using the term "Radiotherapy" in all of my sentences with my patients.
Try it out. You might like it too!
https://t.co/p8z1NA0NgO
I love the hidden gems in CMS datasets.
Which one of you ABSOLUTE ANIMALS tried to bill SBRT for LDRT in 2024??
Normally I'd assume it was a coding error, but given this is in the appeals claims...it means someone actually tried to do it.
Intentionally.
@jryckman3 Credentialism / focus on someone's SCOPUS profile is textbook definition of ad hominem. Only here for the meta-debate, carry on with the science debate 😀
Presented Phase 1 denikitug at #AACR26. Anti-CCR8 mAb is pharmacologically active at ≥10 mg: CCR8+ intratumoral Treg depletion and Teff activation on paired biopsies. Antitumor responses in heavily pretreated pts, including anti-PD-(L)1 refractory. Manageable safety. Supports mono and combo development. @BIDMC_CancerCtr@DanaFarber
🚨SPRING-01🚨
🔍Locally Advanced Rectal Cancer
RCT:
25 Gy x 5 ➡️ CAPOX +- Sintilimab
🔥+ Sintilimab demonstrated:
✅⬆️pCR 59% vs 33%
✅No significant adverse surgical or safety signals
Time to explore with organ preserving approaches⁉️
#ASCO25