Thoracic E09: Post-SBRT Imaging, Recurrence, and Salvage
from RadOnc Smart Review Hosted by Abass Conteh
Welcome back to Rad Onc Smart Review: Thoracic Oncology Edition. Episode 9 addresses one of the hardest surveillance problems after lung stereotactic body radiation therapy: distinguishing expected evolving fibrosis and inflammation from true local recurrence. We integrate time from treatment, serial morphology, metabolic behavior, symptoms, physiology, original dose geometry, restaging, and the feasibility of biopsy. The second half turns suspicion into a salvage decision. The goal is to preserve a potentially curative opportunity without treating benign post-treatment change or causing disproportionate injury to previously irradiated thoracic organs.
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