Radiation Oncologist @MCWRadOnc specializing in brain, liver and prostate cancer. Proud father, NPS enthusiast, and Chicago transplant All tweets are my own.
Hence why people don’t trust science or MDs anymore. We have a doctor you posted likely paid saying they violated national guidelines for what payers deem experimental, we have biomedical news agencies funded by industry saying these devices are amazing for things they are not approved for, we have major medical meetings promoting these devices, we even have @nytimes articles saying how great these devices are.
Yet reality is there is not a single well done multi center randomized trial with reasonable endpoints and good followup showing it is better than AS or RT.
To be clear, none of this is targeting the Vanquish system. It is the whole field of ablative devices being used for cancer without being approved for cancer.
@joshuapalmermd@DrAMansouri Agree, no shortage of need. Radiographic localization of a sensitive emitter would inform a lot of the debate around margins, both upfront and in recurrence.
@joshuapalmermd@ASTRO_org@ESTRO_RT@NeuroOnc@HaleyPerlow@OhioStateRadOnc What portion of these were treated outpatient versus inpatient? Logistics of SRS and OR time and all preradiosurgical/surgical planning has been biggest barrier to making this routine. I see the median time from SRS to surgery was 1 day, but how long from diagnosis to SRS?
@DrChowdharyMD @ProtonStorey@drmattmc Adaptive therapy probably should be the purview of full time clinicians rather than creating a new source of labor.
Riegel et al. @BrittaBureauMD@MedicalCollege analyzed real-world outcomes for newly diagnosed GBM patients treated with or without TTFields and found that TTFields improved OS and PFS, with higher device usage linked to better outcomes. #JNO
Read more:https://t.co/iUf2E2o5bH
@joshuapalmermd Up is down, right is left. It is hard to tell how many patients with poor prognosis were filtered out via eligibility and binning in cohort C, but given the modest study size, and no direct comparison to standard of care for brain mets I can’t say this should change anything
Congratulations to Dr. @whallradonc on being named the next Chair for @MCWRadOnc! We are so fortunate to have him as our next leader. I look forward to working with him to advance @MedicalCollege and @MCWCancerCenter's impact in cancer care and beyond.