Abstract
It is currently standard in many institutions in Ontario for palliative thoracic radiotherapy to be prescribed using a physician designed radiation portal on the planning CT images with a manual dose calculation performed and checked by radiation therapists. In contrast, patients being considered for radical doses of thoracic radiation are planned with the assistance of computerized treatment planning software. While dose-volume constraints for radical thoracic radiotherapy are well established, similar guidelines directing palliative radiotherapy are lacking.
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