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Wow, the center advertising proton radiotherapy for osteoarthritis cites 1 study in support of their strategy…and it is your paper using photons!! 🥴

Nice discussion. I think Matt Spraker is referring to MGH data here – initially was mixed proton/photon due to scheduling (protons only available 4 days/week), also mixed improved skin sparing and conformality using IMRT. With PBS, treatment was 100% protons but that came later.

Clarification re: chemo since some folks have asked. Patients can get initial 4-6 months chemo (prior to enrollment) at outside hospital. Also, once randomized, chemo during chemoRT (either on control arm or with 25 fx dose-escalated RT) can also be given at outside hospital.

Update - they took the webpage down.

We recently activated NRG-GI011, also known as LAP100, a Phase III randomized controlled trial will assess the role of dose-escalated radiotherapy (target biologic effective dose of 100 Gy, hence LAP100) in locally advanced pancreatic cancer. ow.ly/zxSe50WqbCT Dr. Nina Niu Sanford

Genuine thank you to Dr. Nina Niu Sanford who has been willing to be a speaker in this morning/evening for Indonesian Radiation Oncology Society!!! Even though it's 2 a.m. in UK, it was really good to hear insights on ASCO 2025 updates. Hopefully this will not be a one time thing!

This is a pet peeve of mine as well. Patient goes for 2nd opinion, & suddenly all scans going forward *need* to be done at that institution (even if not getting treatment there). Leads to more pt travel, & logistical hurdles for treating team in getting images transferred, etc.

Dr. Nina Niu Sanford Should someone measure the carbon footprint of second opinions? 😁😁

Dr. Nina Niu Sanford So common Reasons given Our radiologists are much better We have a higher Tesla mri or thinner slice CT Reasons not explained More cost More inconvenience More money for the ivory tower with facility fee

I am not aware of any better speakers on the topic of GI radiation oncology than Krishan Jethwa. Everything just becomes crystal clear. This is why you want to attend Mayo Clinic Comprehensive Cancer Center CME courses in heme/onc. Quality updates for practitioners. Mayo Clinic Hematology-Oncology Fellowship

Just watched…10 min high yield pathology review in Pancreatic Cancer…smooth demonstration of what you need to know…UTSW Radiation Oncology Dr. Nina Niu Sanford

Surgical margin"S" in a pancreatic cancer surgical specimen is one of the most complicated......nice to the point work to smoothly elaborate...UTSW Radiation Oncology Dr. Nina Niu Sanford

Omg, this is messed up on so many levels, but prob also happens way more than we realize 😱